Individual
JOHN G AUGOUSTIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD064521L
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD064521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017128370001
—
PA
Enumeration date
06/14/2006
Last updated
10/23/2019
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