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Individual

DR. JOHN J SILIQUINI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2818 COTTMAN AVE, PHILADELPHIA, PA 19149-1419
(215) 331-4141
(215) 338-0167
Mailing address
1709 CAMBRIDGE CIR, SOUTHAMPTON, PA 18966-4407
(215) 331-8436
(215) 725-4083

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD060688L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001683628
PA
01
0219044000
IBC INDIVIDUAL ID
PA
01
3615264
AETNA INDIVIDUAL ID
PA
01
7304231
CIGNA INDIVIDUAL ID
PA
01
P00143982
RR MEDICARE INDIVIDUAL ID
PA
Enumeration date
09/07/2005
Last updated
01/10/2013
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