Provider Demographics
NPI:1548897507
Name:CORBO, FILIPA INES (MD)
Entity type:Individual
Prefix:
First Name:FILIPA
Middle Name:INES
Last Name:CORBO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FILIPA
Other - Middle Name:INES
Other - Last Name:CARDOSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1871 SANTA BARBARA DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4144
Mailing Address - Country:US
Mailing Address - Phone:717-560-1970
Mailing Address - Fax:
Practice Address - Street 1:1871 SANTA BARBARA DR STE 1
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4144
Practice Address - Country:US
Practice Address - Phone:717-560-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD481438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty