Maffeo, Alphonse

Maffeo, Alphonse is an individual health care provider with primary practice located at 4905 W Tilghman St Suite 250, Allentown PA 18104-9130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Maffeo, Alphonse can be contacted via phone (484) 866-9583.

Contact Information

Primary practice address
4905 W Tilghman St Suite 250 Allentown PA 18104-9130
Fax: (610) 366-1147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD019125E Pennsylvania

Profile Details

NPI number 1780673335
LBN Legal business name Maffeo, Alphonse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780673335 NPPES
Pennsylvania MEDICAID 0007170420001
Pennsylvania Other 066538
Pennsylvania Other 1004241
Pennsylvania Other 0066538
Pennsylvania Other 00717042
Pennsylvania Other 0000000130118
Pennsylvania Other 1004241
Pennsylvania Other 0040554000

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