Individual
DR. JOHN SILIQUINI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114-3202
(215) 331-0992
(215) 338-0167
Mailing address
50 WELSH RD, HUNTINGDON VALLEY, PA 19006-6746
(215) 331-8436
(215) 338-0167
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD027938L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000647959
—
PA
01
—
0053391000
IBC INDIVIDUAL ID
PA
01
—
1277626
CIGNA INDIVIDUAL ID
PA
01
—
3633763
AETNA INDIVIDUAL ID
PA
01
—
P00143982
RR MEDICARE INDIVIDUAL
PA
Enumeration date
10/04/2005
Last updated
09/04/2013
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