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NPI Code Detail

MEDICARE: DR. MAKAYLA LEE TESTA DO

MEDICARE: DR. MAKAYLA LEE TESTA DO
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
1207R00000XInternal Medicine PhysicianOS025970PA

General Provider Information

NPI Number : 1942985452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAKAYLA LEE TESTA DO
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-3911
Fax Number :
Provider Business Practice Location Address
First Line : 3322 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5185
Country : US
Telephone Number : 215-707-1800
Fax Number : 215-707-3644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 06/15/2026

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Directions to “ DR. MAKAYLA LEE TESTA DO” Practice Location

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