Provider Demographics
NPI:1336188689
Name:VOLPE, JAMES C (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:VOLPE
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 1:1337 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5741
Mailing Address - Country:US
Mailing Address - Phone:215-465-5491
Mailing Address - Fax:215-339-8626
Practice Address - Street 1:1337 S 9TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-5741
Practice Address - Country:US
Practice Address - Phone:215-465-5491
Practice Address - Fax:215-339-8626
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009518L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000968003OtherHIGHMARK BLUE SHIELD
PA0437258000OtherKEYSTONE
PA0437258000OtherKEYSTONE
PA000968003OtherHIGHMARK BLUE SHIELD