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NPI Code Detail

MEDICARE: MADELINE RAPOZA

MEDICARE: MADELINE RAPOZA
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
11223G0001XGeneral Practice DentistryDS043833PA

General Provider Information

NPI Number : 1336869924
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE RAPOZA
Provider Business Mailing Address
First Line : 130 CARRIAGE CT
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1451
Country : US
Telephone Number : 610-955-4148
Fax Number :
Provider Business Practice Location Address
First Line : 1319 LINCOLN AVE
Second Line :
City : PROSPECT PARK
State : PA
Zip : 19076-1216
Country : US
Telephone Number : 610-532-5008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

Similar Medicare Providers

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1689680860 — MS. JANE ANN KELLEY LCSW
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Directions to “ MADELINE RAPOZA ” Practice Location

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