Basic Information
Provider Information
NPI: 1003016569
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOPOL
FirstName: HOWARD
MiddleName: IRA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E PENN SQ
Address2: 9TH FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191073323
CountryCode: US
TelephoneNumber: 2674259258
FaxNumber: 2674259299
Practice Location
Address1: 100 BOWMAN DR
Address2: CHOP CARE NETWORK AT VIRTUA VOORHEES HOSPITAL
City: VOORHEES
State: NJ
PostalCode: 080439612
CountryCode: US
TelephoneNumber: 8563253000
FaxNumber: 6092615842
Other Information
ProviderEnumerationDate: 07/23/2007
LastUpdateDate: 11/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X25MA08590200NJY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home