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Organization
PEDIATRIC PULMONARY ASSOCIATES P.A.
Active
Organization
PEDIATRIC PULMONARY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY EWIG M.D. (PRESIDENT PEDIATRIC PULMONARY ASSOC)
(727) 767-4146
Entity
Organization
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-3500
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029947970001
—
PA
Enumeration date
11/08/2005
Last updated
11/26/2018
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