Poggio, Juan Lucas

Poggio, Juan Lucas is an sole proprietor health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Poggio, Juan Lucas can be contacted via phone (215) 707-3133.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-3133
Fax: (215) 707-3945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD427752 Pennsylvania
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD427752 Pennsylvania

Profile Details

NPI number 1487776480
LBN Legal business name Poggio, Juan Lucas
Credentials M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Nov 13th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487776480 NPPES
Pennsylvania MEDICAID 102645384

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