David Jerry Addley in Philadelphia - Cardiovascular Disease
David Jerry Addley - NPI 1881767374
David Jerry Addley is a Cardiovascular Disease in Philadelphia, Pennsylvania. David Jerry Addley practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for David Jerry Addley is 1881767374. The last update date is 2021-04-27.
David Jerry Addley's current location address is 5249 Cedar Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154711817 and fax number 2154715089. The mailing address for David Jerry Addley is 5249 Cedar Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Jerry Addley |
|---|---|
| Address | 5249 Cedar Ave, Philadelphia, Pennsylvania |
| Phone Number | 2154711817 |
| Fax Number | 2154715089 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1881767374 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 5249 Cedar Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191431524 |
| Phone Number | 2154711817 |
| Fax Number | 2154715089 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | OS009667L |
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Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1914850 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Jerry Addley by the Centers for Medicare & Medicaid Services?
The David Jerry Addley has been assigned the NPI (National Provider Identifier) 1881767374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where David Jerry Addley is located?
The David Jerry Addley is situated at the following address: 5249 Cedar Ave, Philadelphia, PA, 191431524.
What is the David Jerry Addley's specialty and taxonomy code?
The David Jerry Addley's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
On what date did the David Jerry Addley receive the assignment of its 1881767374 from the Centers for Medicare & Medicaid Services?
The David Jerry Addley was issued its 1881767374 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date was the information regarding David Jerry Addley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Jerry Addley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-27.