Delvecchio, Michael Thomas

Delvecchio, Michael Thomas is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Delvecchio, Michael Thomas can be contacted via phone (215) 707-5437.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Fax: (215) 707-5180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD043982L Pennsylvania

Profile Details

NPI number 1962490045
LBN Legal business name Delvecchio, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 6th, 2010 - about 16 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 1962490045 NPPES
Pennsylvania MEDICAID 0012435220009

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