Individual
DR. ARMAND FORMICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 220, PHILADELPHIA, PA 19152-2081
(215) 831-1017
(856) 424-6065
Mailing address
532 OLD MARLTON PIKE W, W-138, MARLTON, NJ 08053-2075
(215) 831-1017
(856) 424-6065
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS002928L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005927990001
—
PA
01
—
1429618
BLUE SHIELD
PA
01
—
2118411001
KEYSTONE
PA
Enumeration date
06/01/2006
Last updated
03/06/2013
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