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1306875810

NPI Code Detail

MEDICARE: JOSE LUIS PASCUAL-LOPEZ MD

MEDICARE: JOSE LUIS PASCUAL-LOPEZ 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	2086S0102X	Surgical Critical Care Physician	MD427826	PA
2	2086S0127X	Trauma Surgery Physician	MD427826	PA
3	208600000X	Surgery Physician	MD427826	PA

General Provider Information

NPI Number	:	1306875810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE LUIS PASCUAL-LOPEZ MD

Provider Business Mailing Address
First Line	:	800 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6192
Country	:	US
Telephone Number	:	215-349-8311
Fax Number	:	215-893-7270

Provider Business Practice Location Address
First Line	:	800 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6192
Country	:	US
Telephone Number	:	215-349-8311
Fax Number	:	215-893-7270

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	02/19/2026

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Directions to “ JOSE LUIS PASCUAL-LOPEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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