De Vito, Nicholas Michael

De Vito, Nicholas Michael is an individual health care provider with primary practice located at 2301 S Broad St Fl 2 Methodist Hospital, Philadelphia PA 19148-3542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. De Vito, Nicholas Michael can be contacted via phone (215) 952-9434.

Contact Information

Primary practice address
2301 S Broad St Fl 2 Methodist Hospital Philadelphia PA 19148-3542
Phone: (215) 952-9434
Fax: (215) 952-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD440678 Pennsylvania

Profile Details

NPI number 1407051741
LBN Legal business name De Vito, Nicholas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Jun 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407051741 NPPES
Pennsylvania MEDICAID 102539120
Pennsylvania MEDICAID 025341

Popular Providers