# JOSEPH P. BADOLATO, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538395009
- **Authorized official:** DR. JOSEPH P BADOLATO D.O. (PRESIDENT)
- **Authorized official phone:** (215) 468-2553

## Contact information

- **Practice address:** 1818 E PASSYUNK AVE, PHILADELPHIA, PA 19148-2128
- **Practice address phone:** (215) 468-2553
- **Practice address fax:** (215) 468-1096
- **Mailing address:** 1818 E PASSYUNK AVE, PHILADELPHIA, PA 19148-2128
- **Mailing address phone:** (215) 468-2553
- **Mailing address fax:** (215) 468-1096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS005061L | PA | Yes |

## Other

- **Enumeration date:** 06/10/2009
- **Last updated:** 09/03/2019

## 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 |