MEDICARE: ANDREAS W LOEPKE 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
1	207L00000X	Anesthesiology Physician	35.08238	OH
2	207LP3000X	Pediatric Anesthesiology Physician	35.082380	OH
3	207LP3000X	Pediatric Anesthesiology Physician	MD067951L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1740248202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREAS W LOEPKE M.D.

Provider Business Mailing Address
First Line	:	THE WANAMAKER BLDG., 9TH FL, N
Second Line	:	100 EAST PENN SQUARE
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-3323
Country	:	US
Telephone Number	:	267-425-9320
Fax Number	:	267-425-9331

Provider Business Practice Location Address
First Line	:	324 S 34TH STREET
Second Line	:	SUITE 9329
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4399
Country	:	US
Telephone Number	:	215-590-1867
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	09/12/2017

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Directions to “ ANDREAS W LOEPKE M.D.” Practice Location

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