MEDICARE: MICHAEL A GRIPPI 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	207RP1001X	Pulmonary Disease Physician	MD020037E	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1205860376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A GRIPPI MD

Provider Business Mailing Address
First Line	:	1800 LOMBARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1414
Country	:	US
Telephone Number	:	215-893-2543
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 LOMBARD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1414
Country	:	US
Telephone Number	:	215-893-2543
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	09/29/2014

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