Provider Demographics
NPI:1063460624
Name:VOLPE, JOHN A (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:VOLPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 OLD MARLTON PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8772
Mailing Address - Country:US
Mailing Address - Phone:609-953-3440
Mailing Address - Fax:609-953-8090
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 234
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1224
Practice Address - Country:US
Practice Address - Phone:215-750-2911
Practice Address - Fax:215-750-2917
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005356L207RG0100X
NJ25MB05264300207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1659328698OtherGROUP NPI #
NJ1659328698OtherGROUP NPI #
PA1659328698OtherGROUP NPI #
NJ478934ANKMedicare ID - Type Unspecified
C33804Medicare UPIN