Provider Demographics
NPI:1407803349
Name:CONTINO, JOHN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:CONTINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:A
Other - Last Name:CONTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1572 WILMINGTON PIKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-8371
Mailing Address - Country:US
Mailing Address - Phone:610-459-3278
Mailing Address - Fax:610-459-8642
Practice Address - Street 1:1572 WILMINGTON PIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8371
Practice Address - Country:US
Practice Address - Phone:610-459-3278
Practice Address - Fax:610-459-8642
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016080E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0745193Medicaid
C27793Medicare UPIN
PACO024827Medicare ID - Type Unspecified