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
Fax: (215) 871-6347
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1891797759 NPPES
Pennsylvania MEDICAID 000860728

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