UDELE JOYCE TAGOE MD NPI 1588605232

NPI Information

NPI: 1588605232
Provider Name: UDELE JOYCE TAGOE, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
3998 RED LION RD
SUITE 106
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-4143
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Udele Joyce Tagoe, MD is a gynecology obstetrics gynecology in Philadelphia, PA. Udele Joyce Tagoe, MD NPI is 1588605232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3998 RED LION RD
SUITE 106
PHILADELPHIA, PA
ZIP 19114-445
Phone: (215) 612-4143
Fax: (215) 612-4909

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/19/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	MD428204	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1020328930003	MEDICAID	PENNSYLVANIA
2	30171550	OTHER	PENNSYLVANIA	KEYSTONE FIRST
3	336613	OTHER	PENNSYLVANIA	AETNA
4	2768766000	OTHER	PENNSYLVANIA	KEYSTONE IBC
5	113522QRK	MEDICARE PIN	PENNSYLVANIA
6	1901845	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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