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Contact Information

UDELE J TAGOE, MD
3998 RED LION RD
SUITE 106
PHILADELPHIA, PA19114-1445
 Phone: 215-612-4143
 Fax: 215-612-4909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for UDELE J TAGOE · (Female)

NPI # 1588605232
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 08/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD428204
  • PA Medicaid 1020328930003
  • PA Other 336613 AETNA
  • PA Other 1901845 HIGHMARK BLUE SHIELD
  • PA Other 30171550 KEYSTONE FIRST
  • PA Other 2768766000 KEYSTONE IBC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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