Deeugenio, Lewis John

Deeugenio, Lewis John is an individual health care provider with primary practice located at 833 Chestnut St Suite 701, Philadelphia PA 19107-4414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Deeugenio, Lewis John can be contacted via phone (215) 955-6180.

Contact Information

Primary practice address
833 Chestnut St Suite 701 Philadelphia PA 19107-4414
Phone: (215) 955-6180
Fax: (215) 955-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA03326900 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD019409E Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MA03326900 New Jersey

Profile Details

NPI number 1780664847
LBN Legal business name Deeugenio, Lewis John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 21st, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780664847 NPPES
Pennsylvania MEDICAID 1025089390001
Pennsylvania MEDICAID 1650505

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