MEDICARE: DR. JOHN J SILIQUINI JR. 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	207W00000X	Ophthalmology Physician	MD060688L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00143982	OTHER	PA	RR MEDICARE INDIVIDUAL ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3615264	OTHER	PA	AETNA INDIVIDUAL ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7304231	OTHER	PA	CIGNA INDIVIDUAL ID
5	0219044000	OTHER	PA	IBC INDIVIDUAL ID

General Provider Information

NPI Number	:	1942294723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN J SILIQUINI JR. M.D.

Provider Business Mailing Address
First Line	:	1709 CAMBRIDGE CIR
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-4407
Country	:	US
Telephone Number	:	215-331-8436
Fax Number	:	215-725-4083

Provider Business Practice Location Address
First Line	:	2818 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1419
Country	:	US
Telephone Number	:	215-331-4141
Fax Number	:	215-338-0167

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	01/10/2013

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Directions to “ DR. JOHN J SILIQUINI JR. M.D.” Practice Location

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