Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD019390E | PA |
Y | 111NI0900X | Internist | MD019390E | PA |
N | 207RG0300X | Geriatric Medicine | MD019390E | PA |
NPI | 1104873967 |
---|---|
Provider Name | Joseph Candio |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 19/11/2015 |