Provider Demographics
NPI:1891737540
Name:SOLON, VICTOR A (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:A
Last Name:SOLON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-969-4003
Mailing Address - Fax:215-969-4008
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1445
Practice Address - Country:US
Practice Address - Phone:215-969-4003
Practice Address - Fax:215-969-4008
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2010-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD062676L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01781594Medicaid
PAG59661Medicare UPIN
PA954694QXVMedicare PIN