Testa, Mark A

Testa, Mark A is an individual health care provider with primary practice located at 2601 S 12Th St , Philadelphia PA 19148-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Testa, Mark A can be contacted via phone (215) 389-6461.

Contact Information

Primary practice address
2601 S 12Th St Philadelphia PA 19148-4303
Phone: (215) 389-6461
Fax: (215) 389-3726
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB06014000 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0S007357C Pennsylvania

Profile Details

NPI number 1043205370
LBN Legal business name Testa, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 27th, 2020 - about 6 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 1043205370 NPPES
Pennsylvania MEDICAID 0012858720001

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