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NPI Code Detail

MEDICARE: DR. ALFONSE A EMMOLO MD

MEDICARE: DR. ALFONSE A EMMOLO 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
1174400000XSpecialistMD032095LPA

General Provider Information

NPI Number : 1982677217
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSE A EMMOLO MD
Provider Business Mailing Address
First Line : 1 MEMORIAL DR
Second Line :
City : OIL CITY
State : PA
Zip : 16301-1341
Country : US
Telephone Number : 814-676-8571
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEMORIAL DR
Second Line :
City : OIL CITY
State : PA
Zip : 16301-1341
Country : US
Telephone Number : 814-676-8571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ALFONSE A EMMOLO MD” Practice Location

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