Basic Information
| Provider Information | |||||||||
| NPI: | 1518176916 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STEVEN J VALENTINO DO PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S HENDERSON RD | ||||||||
| Address2: | STE 301 | ||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194063530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102655795 | ||||||||
| FaxNumber: | 6109929022 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 S HENDERSON RD | ||||||||
| Address2: | STE 301 | ||||||||
| City: | KING OF PRUSSIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194063530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102655795 | ||||||||
| FaxNumber: | 6109929022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 01/23/2014 | ||||||||
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| AuthorizedOfficialLastName: | VALENTINO | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | JOHN | ||||||||
| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 6102655795 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | N | Suppliers | Durable Medical Equipment & Medical Supplies | 174400000X | OS005197L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.