Provider Demographics
NPI:1871645127
Name:BELFIGLIO, STEPHEN F (DO)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:F
Last Name:BELFIGLIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2547
Mailing Address - Country:US
Mailing Address - Phone:610-269-1372
Mailing Address - Fax:610-269-6951
Practice Address - Street 1:770 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2547
Practice Address - Country:US
Practice Address - Phone:610-269-1372
Practice Address - Fax:610-269-6951
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006500L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA56881OtherCOVENTRY HMO
PA6119861OtherCIGNA HMO
PA096330OtherPA BLUE SHIELD
PA01160994OtherAMERICHOICE
PAP029888OtherTRICARE
PA0118075OtherAETNA HMO
PA0011609940002Medicaid
PA0297948000OtherIBC HMO PPO
PA268219OtherMAMSI HMO
PA096330OtherPA BLUE SHIELD
PA0011609940002Medicaid