Telegadis, John

Telegadis, John is an individual health care provider with primary practice located at 333 Township Line Rd , Elkins Park PA 19027-2272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Telegadis, John can be contacted via phone (215) 663-9796.

Contact Information

Primary practice address
333 Township Line Rd Elkins Park PA 19027-2272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-039868-L Pennsylvania

Profile Details

NPI number 1184666554
LBN Legal business name Telegadis, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Dec 30th, 2014 - about 12 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 1184666554 NPPES
Pennsylvania Other 4456757 AETNA
Pennsylvania MEDICAID 001071464001 AETNA
Pennsylvania Other 0048772001 AETNA

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