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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 Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PEDIATRIC AND ADOLESCENT MEDICINE GROUP

NPI Number 1801836671
LBN Legal business name PEDIATRIC AND ADOLESCENT MEDICINE GROUP
Authorized official STELLA MAGLIOCCO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2006
Last updated 07/21/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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