Disesa, Verdi J.

Disesa, Verdi J. is an individual health care provider with primary practice located at 3509 N Broad St , Philadelphia PA 19140-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Disesa, Verdi J. can be contacted via phone (215) 707-8484.

Contact Information

Primary practice address
3509 N Broad St Philadelphia PA 19140-4105
Phone: (215) 707-8484
Fax: (215) 707-3946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD020222E Pennsylvania

Profile Details

NPI number 1063475234
LBN Legal business name Disesa, Verdi J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 24th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063475234 NPPES
Pennsylvania MEDICAID 01189535

Popular Providers