MEDICARE: DR. PHILIP GABRIEL TAORMINA II 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
1	207R00000X	Internal Medicine Physician	OS014640	PA

General Provider Information

NPI Number	:	1689810723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP GABRIEL TAORMINA II D.O.

Provider Business Mailing Address
First Line	:	2 HEATHROW CT
Second Line	:
City	:	BLACKWOOD
State	:	NJ
Zip	:	08012-5249
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 W OREGON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4500
Country	:	US
Telephone Number	:	215-334-2200
Fax Number	:	215-334-1125

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

Provider Enumeration Date	:	12/19/2008
Last Update Date	:	04/09/2012

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