Provider Demographics
NPI:1720202229
Name:JOSEPH CARCHEDI, MD PC
Entity Type:Organization
Organization Name:JOSEPH CARCHEDI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARCHEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-780-1898
Mailing Address - Street 1:1200 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:CENTER SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1816
Mailing Address - Country:US
Mailing Address - Phone:215-780-1898
Mailing Address - Fax:
Practice Address - Street 1:1200 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:CENTER SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19422-1816
Practice Address - Country:US
Practice Address - Phone:215-780-1898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043669L2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty