Provider Demographics
NPI:1982605192
Name:DEFILIPPIS, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:DEFILIPPIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-7037
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:STE 125
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:215-710-5610
Practice Address - Fax:215-710-5625
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD043496L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00633472OtherRAILROAD MEDICARE
PA0643332000OtherKEYSTONE IBC
PA0206080OtherCIGNA PA
PA30048670OtherKEYSTONE FIRST
PA0014720240012Medicaid
PA1597061OtherGATEWAY
PA4235799OtherAETNA
PA739230OtherHIGHMARK BLUE SHIELD
PA739230R52Medicare PIN
PAP00633472OtherRAILROAD MEDICARE