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NPI Code Detail

MEDICARE: THERESA FILIPPELLI PA

MEDICARE: THERESA FILIPPELLI PA
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
1363A00000XPhysician Assistant25MP00024900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11032602OTHERNJNCCPA

General Provider Information

NPI Number : 1750456885
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA FILIPPELLI PA
Provider Business Mailing Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-7519
Fax Number : 908-925-2235
Provider Business Practice Location Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-7519
Fax Number : 908-925-2235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 09/07/2012

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Directions to “ THERESA FILIPPELLI PA” Practice Location

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