Provider Demographics
NPI:1942294723
Name:SILIQUINI, JOHN J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:SILIQUINI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1709 CAMBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4407
Mailing Address - Country:US
Mailing Address - Phone:215-331-8436
Mailing Address - Fax:215-725-4083
Practice Address - Street 1:2818 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1419
Practice Address - Country:US
Practice Address - Phone:215-331-4141
Practice Address - Fax:215-338-0167
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD060688L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3615264OtherAETNA INDIVIDUAL ID
PA001683628Medicaid
PA7304231OtherCIGNA INDIVIDUAL ID
PAP00143982OtherRR MEDICARE INDIVIDUAL ID
PA0219044000OtherIBC INDIVIDUAL ID
PAP00143982OtherRR MEDICARE INDIVIDUAL ID
PA3615264OtherAETNA INDIVIDUAL ID
PA7304231OtherCIGNA INDIVIDUAL ID
PA001683628Medicaid