Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD026314-L | PA |
NPI | 1124264809 |
---|---|
Provider Name | Dr. Michael A Oriente |
First Address | Philadelphia, PA 19130 |
Second Address | Philadelphia, PA 19130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2008 |
Last Update Date | 30/12/2008 |