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NPI Code Detail

MEDICARE: EDWARD J FILIPPONE MD PC

MEDICARE: EDWARD J FILIPPONE MD PC
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
1207RN0300XNephrology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043246663
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARD J FILIPPONE MD PC
Provider Business Mailing Address
First Line : 2228 S BROAD ST
Second Line :
City : PHILA
State : PA
Zip : 19145-3923
Country : US
Telephone Number : 215-467-8955
Fax Number : 215-467-8956
Provider Business Practice Location Address
First Line : 2228 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-3923
Country : US
Telephone Number : 215-467-8955
Fax Number : 215-467-8956
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD J FILIPPONE
Credential : M.D.,
Telephone Number : 215-467-8955
Provider Enumeration Date : 06/24/2006
Last Update Date : 10/04/2016

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