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Organization
NELSON MEDICAL GROUP
Active
Organization
NELSON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLEN NELSON M.D. (CEO)
(215) 546-7049
Entity
Organization
Contact information
Practice address
255 S 17TH ST, SUITE 2001, PHILADELPHIA, PA 19103-6231
(215) 546-7049
(215) 546-8646
Mailing address
255 S 17TH ST, SUITE 2001, PHILADELPHIA, PA 19103-6231
(215) 546-7049
(215) 546-8646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912952789
NPI#
PA
01
—
C31657
UPIN
PA
01
—
MD004666E
MEDICAL LISCENCE
PA
01
—
MD013724E
MEDICAL LISCENCE
PA
01
—
MD033656L
LICENSE #
PA
01
—
MD050204L
LISCENCE NUMBER
PA
01
—
MD050257L
MEDICAL LICENCE
PA
01
—
MD051318L
LICENSE #
PA
01
—
OS006039L
LICENSE #
PA
Enumeration date
07/24/2006
Last updated
09/11/2025
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