Individual
EMMANUEL F HIPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 THOMPSON PARK, KANE, PA 16735-0399
(814) 837-9841
(814) 837-6494
Mailing address
38 THOMPSON PARK, P O BOX 399, KANE, PA 16735-0399
(814) 837-9841
(814) 837-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD037007L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630113
BLUE SHIELD
PA
Enumeration date
06/17/2006
Last updated
09/25/2012
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