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NPI Code Detail

MEDICARE: ANTHONY W SAMPHILIPO D.O.

MEDICARE:   ANTHONY W SAMPHILIPO  D.O.
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
1207R00000XInternal Medicine PhysicianOS009470LPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00226910OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21114689OTHERPAAETNA NON-HMO
31540079OTHERPAGATEWAY HEALTH PLAN
458712 S1QAOTHERPAGEISINGER HEALTH PLAN
5695239OTHERPAHIGHMARK BLUE SHIELD
650051558OTHERPACAPITAL BLUE CROSS
77133158OTHERPAAETNA HMO
9H21702OTHERPAHEALTH ASSURANCE

General Provider Information

NPI Number : 1053301663
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY W SAMPHILIPO D.O.
Provider Business Mailing Address
First Line : 2110 HARRISBURG PIKE
Second Line : SUITE 100
City : LANCASTER
State : PA
Zip : 17604-3200
Country : US
Telephone Number : 717-544-3191
Fax Number : 717-544-3637
Provider Business Practice Location Address
First Line : 2110 HARRISBURG PIKE
Second Line : SUITE 100
City : LANCASTER
State : PA
Zip : 17604-3200
Country : US
Telephone Number : 717-544-3191
Fax Number : 717-544-3637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 09/06/2007

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