MEDICARE: DONALD TALENTI 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD068898L	PA
2	208000000X	Pediatrics Physician	MD068898L	PA
3	207R00000X	Internal Medicine Physician	MD068898L	PA

General Provider Information

NPI Number	:	1962457416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD TALENTI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 829641
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19182-9641
Country	:	US
Telephone Number	:	267-370-5296
Fax Number	:	215-230-3725

Provider Business Practice Location Address
First Line	:	4259 W SWAMP RD STE 108
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-1033
Country	:	US
Telephone Number	:	215-863-8363
Fax Number	:	215-230-3861

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/23/2018

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