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NPI Code Detail

MEDICARE: DR. JOHN L. ABRUZZO M.D.

MEDICARE:  DR. JOHN L. ABRUZZO  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
1207R00000XInternal Medicine PhysicianMD009252EPA
2207RR0500XRheumatology PhysicianMD009252EPA

Other Identifiers

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

General Provider Information

NPI Number : 1396768040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN L. ABRUZZO M.D.
Provider Business Mailing Address
First Line : 615 CHESTNUT ST
Second Line : 14TH FLOOR
City : PHILADELPHIA
State : PA
Zip : 19106-4404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 146 MONTGOMERY AVE
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-2956
Country : US
Telephone Number : 610-664-0134
Fax Number : 610-664-0827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 08/22/2011

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Directions to “ DR. JOHN L. ABRUZZO M.D.” Practice Location

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