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NPI Code Detail

MEDICARE: DR. PHILIP J CINELLI D.O.

MEDICARE:  DR. PHILIP J CINELLI  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
1207Q00000XFamily Medicine PhysicianOS006283LPA

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 : 1073509212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP J CINELLI D.O.
Provider Business Mailing Address
First Line : PO BOX 783311
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-3311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1337 BLUE VALLEY DR
Second Line : SUITE 7
City : PEN ARGYL
State : PA
Zip : 18072-1815
Country : US
Telephone Number : 610-654-1270
Fax Number : 610-654-1271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 08/12/2016

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Directions to “ DR. PHILIP J CINELLI D.O.” Practice Location

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