Formica, Armand
Formica, Armand is an sole proprietor health care provider with primary practice located at 8400 Roosevelt Blvd Suite 220, Philadelphia PA 19152-2081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Formica, Armand can be contacted via phone (215) 831-1017.Contact Information
Primary practice address
8400 Roosevelt Blvd Suite 220
Philadelphia PA 19152-2081
Phone: (215) 831-1017
Fax: (856) 424-6065
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | OS002928L | Pennsylvania |
Profile Details
NPI number | 1376580902 |
---|---|
LBN Legal business name | Formica, Armand |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2006 |
Last updated | Mar 6th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376580902 | NPPES |
Pennsylvania | MEDICAID | 0005927990001 | |
Pennsylvania | Other | 1429618 | |
Pennsylvania | Other | 2118411001 |
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