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NPI Code Detail

MEDICARE: DR. ANTHONY REPICI D.O.

MEDICARE: DR. ANTHONY REPICI 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
1208D00000XGeneral Practice PhysicianOS-003001-LPA

General Provider Information

NPI Number : 1295871119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY REPICI D.O.
Provider Business Mailing Address
First Line : 100 EAGLEVILLE RD
Second Line :
City : EAGLEVILLE
State : PA
Zip : 19403-1829
Country : US
Telephone Number : 610-539-6000
Fax Number : 610-539-9314
Provider Business Practice Location Address
First Line : 100 EAGLEVILLE RD
Second Line :
City : EAGLEVILLE
State : PA
Zip : 19403-1829
Country : US
Telephone Number : 610-539-6000
Fax Number : 610-539-9314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/08/2007

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