Individual
JOHN TELEGADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2272
(215) 663-9796
Mailing address
333 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2272
(215) 663-9796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-039868-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001071464001
—
PA
01
—
0048772001
KEYSTONE
PA
01
—
4456757
AETNA
PA
Enumeration date
06/12/2006
Last updated
12/30/2014
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