Provider Demographics
NPI:1356309462
Name:HIDALGO, HORACIO A JR (MD)
Entity Type:Individual
Prefix:
First Name:HORACIO
Middle Name:A
Last Name:HIDALGO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:4594 NEW FALLS ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056
Practice Address - Country:US
Practice Address - Phone:267-587-3700
Practice Address - Fax:215-949-2650
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2021-05-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD040685L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA434701R52Medicare PIN
PAE21917Medicare UPIN