Venditto, Michael A.
Venditto, Michael A. is an individual health care provider with primary practice located at 4190 City Ave Suite 315, Philadelphia PA 19131-1626. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Venditto, Michael A. can be contacted via phone (215) 871-6337.Contact Information
Primary practice address
4190 City Ave Suite 315
Philadelphia PA 19131-1626
Phone: (215) 871-6337
Fax: (215) 871-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS003980L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB06362800 | New Jersey |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | OS003980L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MB06362800 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | OS003980L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MB06362800 | New Jersey |
Profile Details
| NPI number | 1891797759 |
|---|---|
| LBN Legal business name | Venditto, Michael A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Mar 3rd, 2016 - about 9 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 | 1891797759 | NPPES |
| Pennsylvania | MEDICAID | 000860728 |
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