Individual
JOHN P. SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4963
(215) 612-4532
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD045207L
PA
207R00000X
Internal Medicine Physician
MD045207L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012663670001
—
PA
05
—
0012663670002
—
PA
05
—
0012663670012
—
PA
01
—
01266367-02
AMERICHOICE TORRESDALE
PA
01
—
01266367-03
AMERICHOICE FRANKFORD
PA
01
—
01266367-04
AMERICHOICE BUCKS
PA
01
—
0537945000
KEYSTONE IBC
PA
01
—
07645
HEALTH PARTNERS
PA
01
—
1127220
KEYSTONE MERCY
PA
01
—
1139794
CIGNA
PA
01
—
20016516
AMERIHEALTH MERCY
PA
01
—
452729
AETNA CONTRACT
PA
01
—
55490606
MULTIPLAN
PA
01
—
702247
HIGHMARK BLUE SHIELD
PA
01
—
930016612
RAILROAD MEDICARE
PA
01
—
PA0048441
TRICARE
PA
Enumeration date
07/18/2006
Last updated
01/15/2015
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