Individual
DR. FLAVIUS F. GUGLIELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562
Mailing address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-2900
(215) 923-1562
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD037502E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101978449
—
PA
05
—
5043506
—
NJ
Enumeration date
06/22/2005
Last updated
03/20/2015
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