Provider Demographics
NPI:1225025299
Name:SILIQUINI, JOHN SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SILIQUINI
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6746
Mailing Address - Country:US
Mailing Address - Phone:215-331-8436
Mailing Address - Fax:215-338-0167
Practice Address - Street 1:9126 BLUE GRASS RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-3202
Practice Address - Country:US
Practice Address - Phone:215-331-0992
Practice Address - Fax:215-338-0167
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027938L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3633763OtherAETNA INDIVIDUAL ID
PA1277626OtherCIGNA INDIVIDUAL ID
PAP00143982OtherRR MEDICARE INDIVIDUAL
PA000647959Medicaid
PA0053391000OtherIBC INDIVIDUAL ID
PA0053391000OtherIBC INDIVIDUAL ID
PAP00143982OtherRR MEDICARE INDIVIDUAL
PA3633763OtherAETNA INDIVIDUAL ID