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Michael William Taddonio

Hospitalist in Philadelphia, PA. Individual provider (NPI-1).

NPI number1982108833
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1982108833
Entity type
Individual (NPI-1)
Name
Michael William Taddonio
Sex
Male
Sole proprietor
No
Enumeration date
Mar 23, 2018
Certification date
Jun 29, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistOS021321PAYes
207R00000X Internal MedicineOS021321PA

Practice location

4190 City Ave
Philadelphia, PA 19131-1626

Phone 215-871-6694

Mailing address

4190 City Ave
Philadelphia, PA 19131-1626

Phone 215-871-6694

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