MEDICARE: DR. JOHN INGUI 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	2084P0800X	Psychiatry Physician	MD029768E	PA

General Provider Information

NPI Number	:	1982876611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN INGUI M.D.

Provider Business Mailing Address
First Line	:	4 S JEROME AVE
Second Line	:
City	:	MARGATE CITY
State	:	NJ
Zip	:	08402-2627
Country	:	US
Telephone Number	:	609-823-4471
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 LOCUST ST
Second Line	:	SUITE 1001
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3727
Country	:	US
Telephone Number	:	610-985-0667
Fax Number	:

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

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	04/02/2008

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Directions to “ DR. JOHN INGUI M.D.” Practice Location

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