Zuppa, Athena
Zuppa, Athena is an individual health care provider with primary practice located at 34Th Street & Civic Center Blvd Suite 9329, Philadelphia PA 19104-4399. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Zuppa, Athena can be contacted via phone (215) 590-1858.Contact Information
Primary practice address
34Th Street & Civic Center Blvd Suite 9329
Philadelphia PA 19104-4399
Phone: (215) 590-1858
Fax: (215) 590-4327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD065228L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD065228L | Pennsylvania |
Profile Details
| NPI number | 1720193980 |
|---|---|
| LBN Legal business name | Zuppa, Athena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Apr 17th, 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 | 1720193980 | NPPES |
| Pennsylvania | Other | 055497EMD | MEDICARE PTAN |
| Pennsylvania | MEDICAID | 0018901220 | MEDICARE PTAN |
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