Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 34.009312 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | OS015577 | PA |
NPI | 1699934687 |
---|---|
Provider Name | Dr. Joseph C Piccione JR. |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 17/04/2013 |