MEDICARE: DR. FRANCIS VERGARA TALANGBAYAN I MD

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	207R00000X	Internal Medicine Physician	MD034407L	PA

General Provider Information

NPI Number	:	1891845756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS VERGARA TALANGBAYAN I MD

Provider Business Mailing Address
First Line	:	2244 N FRONT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-3714
Country	:	US
Telephone Number	:	215-739-7400
Fax Number	:	610-667-2794

Provider Business Practice Location Address
First Line	:	2244 N FRONT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-3714
Country	:	US
Telephone Number	:	215-739-7400
Fax Number	:	610-667-2794

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	05/13/2008

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