Individual
DR. THOMAS GUIDO EGIZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS021199
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017340
PA
Other
Enumeration date
06/16/2016
Last updated
07/02/2021
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