Basic Information
Provider Information
NPI: 1629293089
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLORENDO
FirstName: MARIA EMILIA
MiddleName: ABADILLA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ABADILLA
OtherFirstName: MARIA EMILIA
OtherMiddleName: ACEDO
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 5501 OLD YORK RD
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191413018
CountryCode: US
TelephoneNumber: 2154566990
FaxNumber: 2154567052
Practice Location
Address1: 101 E OLNEY AVE
Address2: SUITE 400
City: PHILADELPHIA
State: PA
PostalCode: 191202421
CountryCode: US
TelephoneNumber: 2154567000
FaxNumber: 2152542599
Other Information
ProviderEnumerationDate: 04/13/2007
LastUpdateDate: 09/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD440657PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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