Verdi J. Disesa M.D.

NPI 1063475234 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1063475234
Gender Male
Enumeration Date 04/10/2006
Last Updated 05/17/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
3401 N BROAD ST
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3601
Fax (215) 707-1576
Business Location
2450 W HUNTING PARK AVE
PHILADELPHIA PA, 19129-1302, US
Phone (215) 707-3601
Fax (610) 918-6316
Toxanomy
Taxonomy Code 208G00000X
License State Pennsylvania
License Number MD020222E
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According to our database, Dr. Verdi J. Disesa M.D. NPI is 1063475234, taxonomy code is 208G00000X and license number is MD020222E, license state is located at Pennsylvania. Verdi J. Disesa M.D. physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number Verdi J. Disesa M.D. has the Individual type.

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1063475234 NPI number is provided on an as is basis without warranty of any kind. 1063475234 is maintained by the National Plan & Provider Enumeration System. The contents of Verdi J. Disesa M.D. are for informational purposes only.