Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Anthony Bifano

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730975442

Jack Anthony Bifano is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (215) 573-2588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730975442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 17, 2025

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