David A Iddenden in Philadelphia - Specialist
David A Iddenden - NPI 1982647400
David A Iddenden is a Specialist in Philadelphia, Pennsylvania. David A Iddenden practices all healthcare services and medical treatments related to Specialist. The NPI Number for David A Iddenden is 1982647400. The last update date is 2015-05-12.
David A Iddenden's current location address is 2301 S Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159525175 and fax number 2154632540. The mailing address for David A Iddenden is 2301 S Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | David A Iddenden |
---|---|
Address | 2301 S Broad St, Philadelphia, Pennsylvania |
Phone Number | 2159525175 |
Fax Number | 2154632540 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1982647400 |
---|---|
Provider Enumeration Date | 2006-06-13 |
Last Updated Date | 2015-05-12 |
Provider Mailing Address Detail
Address | 2301 S Broad St |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191483542 |
Phone Number | 2159525175 |
Fax Number | 2154632540 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | MD038624L |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000805978 0001 | PA | -- |
Post Comment/ Review Below
What is the David A Iddenden's unique identification number?
The David A Iddenden has been assigned the NPI (National Provider Identifier) Number 1982647400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the David A Iddenden's physical address?
The David A Iddenden is physically located at 2301 S Broad St, in the city of Philadelphia, PA, with the postal code 191483542.
What is the David A Iddenden's specialty and taxonomy code?
The David A Iddenden's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did David A Iddenden receive its 1982647400 assignment from the Centers for Medicare & Medicaid Services?
The David A Iddenden was assigned its 1982647400 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to David A Iddenden last refreshed?
The information related to the David A Iddenden, including its address, specialty, and other relevant details, was last updated on 2015-05-12.
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