| Quintiliani & Desalvo Family Practice Associates, P.c. | |
|
801 N 66th St Philadelphia PA 19151-3331 | |
| (215) 879-2500 | |
| (215) 879-6756 |
| Full Name | Quintiliani & Desalvo Family Practice Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 801 N 66th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Frances Malone (OFFICE MANAGER) |
| Authorized Official Contact | 2158792500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quintiliani & Desalvo Family Practice Associates, P.c. 801 N 66th St Philadelphia PA 19151-3331 Ph: (215) 879-2500 | Quintiliani & Desalvo Family Practice Associates, P.c. 801 N 66th St Philadelphia PA 19151-3331 Ph: (215) 879-2500 |
| NPI Number | 1922192897 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/24/2011 |
| Medicare PECOS PAC ID | 6608856067 |
|---|---|
| Medicare Enrollment ID | O20040726000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922192897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
| Provider Name | Anthony J Desalvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124082573 PECOS PAC ID: 3072709716 Enrollment ID: I20101122000034 |
| Provider Name | Joseph P Quintiliani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659335123 PECOS PAC ID: 0244426997 Enrollment ID: I20101122000055 |
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