MEDICARE: DR. ANDREW PERCY M.D.

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	MD470591	PA
2	207L00000X	Anesthesiology Physician	MD470591	PA
3	2080P0203X	Pediatric Critical Care Medicine Physician	MD470591	PA

General Provider Information

NPI Number	:	1225569254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW PERCY M.D.

Provider Business Mailing Address
First Line	:	3400 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5127
Country	:	US
Telephone Number	:	215-349-8310
Fax Number	:	215-662-2739

Provider Business Practice Location Address
First Line	:	3400 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5127
Country	:	US
Telephone Number	:	215-349-8310
Fax Number	:	215-662-2739

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

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	03/16/2026

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