National Provider Identifier Database

PEDIATRIC AND ADOLESCENT MEDICINE GROUP
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

PEDIATRIC AND ADOLESCENT MEDICINE GROUP
2129 W OREGON AVE
FIRST FLOOR REAR
PHILADELPHIA, PA19145-4131
Phone: 215-462-6106
Fax: 215-462-5922
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC AND ADOLESCENT MEDICINE GROUP

NPI Number 1801836671
Legal business name
LBN
PEDIATRIC AND ADOLESCENT MEDICINE GROUP
Authorized official STELLA MAGLIOCCO - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/08/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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