MEDICARE: DR. PHILLIP MICHAEL ORLANDO 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	390200000X	Student in an Organized Health Care Education/Training Program	OT017253	PA
2	2084P0800X	Psychiatry Physician	OS020611	PA

General Provider Information

NPI Number	:	1861841793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP MICHAEL ORLANDO D.O.

Provider Business Mailing Address
First Line	:	2031 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5611
Country	:	US
Telephone Number	:	267-244-1760
Fax Number	:	740-212-8310

Provider Business Practice Location Address
First Line	:	2031 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5611
Country	:	US
Telephone Number	:	267-244-1760
Fax Number	:	740-212-8310

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

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	06/01/2026

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