MEDICARE: DR. MICHAEL APKON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD440429	PA
2	2080P0203X	Pediatric Critical Care Medicine Physician	031973	CT
3	2080P0203X	Pediatric Critical Care Medicine Physician	MD440429	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	186240EMD	OTHER	PA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023099330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL APKON MD

Provider Business Mailing Address
First Line	:	100 EAST PENN SQUARE
Second Line	:	THE WANAMAKER BUILDING, 9TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3323
Country	:	US
Telephone Number	:	267-425-9300
Fax Number	:	267-425-9331

Provider Business Practice Location Address
First Line	:	34TH AND CIVIC CENTER BLVD - SUITE 9329
Second Line	:	CHILDREN'S HOSPITAL OF PHILADELPHIA
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4399
Country	:	US
Telephone Number	:	267-426-6149
Fax Number	:	215-590-4327

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	03/11/2013

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