MEDICARE: DR. JOSEPH PAUL VILOGI 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	207P00000X	Emergency Medicine Physician	MDO24047E	PA

General Provider Information

NPI Number	:	1851390140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH PAUL VILOGI M.D.

Provider Business Mailing Address
First Line	:	825 HILLTOP DR
Second Line	:
City	:	CLARKS SUMMIT
State	:	PA
Zip	:	18411-2701
Country	:	US
Telephone Number	:	570-586-7828
Fax Number	:	570-586-1375

Provider Business Practice Location Address
First Line	:	825 HILLTOP DR
Second Line	:
City	:	CLARKS SUMMIT
State	:	PA
Zip	:	18411-2701
Country	:	US
Telephone Number	:	570-586-7828
Fax Number	:	570-586-1375

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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