Provider Demographics
NPI:1932192259
Name:SLOCHOWER, DENNIS (MD)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:
Last Name:SLOCHOWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1263 CLUB HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1003
Mailing Address - Country:US
Mailing Address - Phone:610-527-2221
Mailing Address - Fax:
Practice Address - Street 1:2818 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1419
Practice Address - Country:US
Practice Address - Phone:215-331-4141
Practice Address - Fax:215-338-0167
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026878E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000894575Medicaid
PA0858718OtherCIGNA INDIVIDUAL ID
PA0053142000OtherIBC INDIVIDUAL ID
PA3615269OtherAETNA INDIVIDUAL ID
PAP00143978OtherRR MEDICARE INDIVIDUAL
PA066114Medicare PIN
PA0858718OtherCIGNA INDIVIDUAL ID