Individual
MICHAEL WILLIAM TADDONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6694
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS021321
PA
208M00000X
Hospitalist Physician
Primary
OS021321
PA
Other
Enumeration date
03/23/2018
Last updated
06/29/2021
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