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Organization
JOSEPH P. BADOLATO, D.O., P.C.
Active
Organization
JOSEPH P. BADOLATO, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P BADOLATO D.O. (PRESIDENT)
(215) 468-2553
Entity
Organization
Contact information
Practice address
1818 E PASSYUNK AVE, PHILADELPHIA, PA 19148-2128
(215) 468-2553
(215) 468-1096
Mailing address
1818 E PASSYUNK AVE, PHILADELPHIA, PA 19148-2128
(215) 468-2553
(215) 468-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005061L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000124127
HIGHMARK BLUE SHIELD
PA
01
—
1123759
CIGNA
—
01
—
276928
UNITED HEALTHCARE
—
01
—
30063423
KEYSTONE MERCY
—
01
—
3727345000
INDEPENDENCE BLUE CROSS PERSONAL CHOICE
PA
01
—
3727345001
KEYSTONE HEALTH PLAN EAST
PA
01
—
4474097
AETNA
PA
Enumeration date
06/10/2009
Last updated
09/03/2019
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