Individual
DR. DAVID M SHIPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2422 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19145-4418
(215) 389-1748
(215) 389-0604
Mailing address
2422 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19145-4418
(215) 389-1748
(215) 389-0604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA08182200
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD065851L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019517560001
—
PA
Enumeration date
12/06/2005
Last updated
03/06/2014
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