ANDRES DEIK ACOSTA MADIEDO MD NPI 1396907143

NPI Information

Andres Deik Acosta Madiedo, MD is a neurology psychiatry neurology in Philadelphia, PA with 19 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Andres Deik Acosta Madiedo, MD NPI is 1396907143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 SPRUCE STREET
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 829-6500

The NPI 1396907143 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 4/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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