MEDICARE: QUINTILIANI & DESALVO FAMILY PRACTICE ASSOCIATES, P.C.

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	207Q00000X	Family Medicine Physician		PA

General Provider Information

NPI Number	:	1922192897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUINTILIANI & DESALVO FAMILY PRACTICE ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	801 N 66TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3331
Country	:	US
Telephone Number	:	215-879-2500
Fax Number	:	215-879-6756

Provider Business Practice Location Address
First Line	:	801 N 66TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3331
Country	:	US
Telephone Number	:	215-879-2500
Fax Number	:	215-879-6756

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. FRANCES MALONE
Credential	:
Telephone Number	:	215-879-2500

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	01/24/2011

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