MEDICARE: DR. FELICIA MAUDE TOBY LEWIS 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	207RI0200X	Infectious Disease Physician	MD429724	PA

General Provider Information

NPI Number	:	1871628594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELICIA MAUDE TOBY LEWIS M.D.

Provider Business Mailing Address
First Line	:	500 S BROAD ST FL 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1613
Country	:	US
Telephone Number	:	215-685-6400
Fax Number	:	215-545-8362

Provider Business Practice Location Address
First Line	:	500 S BROAD ST FL 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1613
Country	:	US
Telephone Number	:	215-685-6400
Fax Number	:	215-545-8362

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	07/08/2007

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