Tedaldi, Ellen
Tedaldi, Ellen is an individual health care provider with primary practice located at 3322 N Broad St , Philadelphia PA 19140-5185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Tedaldi, Ellen can be contacted via phone (215) 707-1800.Contact Information
Primary practice address
3322 N Broad St
Philadelphia PA 19140-5185
Phone: (215) 707-1800
Fax: (215) 707-3644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD036754E | Pennsylvania |
Profile Details
| NPI number | 1508854548 |
|---|---|
| LBN Legal business name | Tedaldi, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Mar 29th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508854548 | NPPES |
| Pennsylvania | MEDICAID | 0010606490001 |
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