Provider Demographics
NPI:1689810723
Name:TAORMINA, PHILIP GABRIEL II (DO)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:GABRIEL
Last Name:TAORMINA
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2 HEATHROW CT
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-5249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1615 W OREGON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4500
Practice Address - Country:US
Practice Address - Phone:215-334-2200
Practice Address - Fax:215-334-1125
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2012-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014640207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine