| Joseph P. Badolato, D.o., P.c. | |
|
1818 E Passyunk Ave Philadelphia PA 19148-2128 | |
| (215) 468-2553 | |
| (215) 468-1096 |
| Full Name | Joseph P. Badolato, D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1818 E Passyunk Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joseph P Badolato (PRESIDENT) |
| Authorized Official Contact | 2154682553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph P. Badolato, D.o., P.c. 1818 E Passyunk Ave Philadelphia PA 19148-2128 Ph: (215) 468-2553 | Joseph P. Badolato, D.o., P.c. 1818 E Passyunk Ave Philadelphia PA 19148-2128 Ph: (215) 468-2553 |
| NPI Number | 1538395009 |
|---|---|
| Provider Enumeration Date | 06/10/2009 |
| Last Update Date | 09/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538395009 | NPI | - | NPPES |
| 000124127 | Other | PA | HIGHMARK BLUE SHIELD |
| 4474097 | Other | PA | AETNA |
| 3727345000 | Other | PA | INDEPENDENCE BLUE CROSS PERSONAL CHOICE |
| 3727345001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 1123759 | Other | CIGNA | |
| 276928 | Other | UNITED HEALTHCARE | |
| 30063423 | Other | KEYSTONE MERCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005061L (Pennsylvania) | Primary |
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