Provider Demographics
NPI:1447255831
Name:SIVALINGAM, JOCELYN J (MD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:J
Last Name:SIVALINGAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1015 CHESTNUT ST
Mailing Address - Street 2:STE 1518
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4315
Mailing Address - Country:US
Mailing Address - Phone:215-955-1060
Mailing Address - Fax:215-955-9502
Practice Address - Street 1:1015 CHESTNUT ST
Practice Address - Street 2:STE 1518
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4315
Practice Address - Country:US
Practice Address - Phone:215-955-1060
Practice Address - Fax:215-955-9502
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD042484E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012857100002Medicaid
PA0012857100002Medicaid
PAF13497Medicare UPIN