Individual
ELLIE SOUGANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 443-1341
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD460773
PA
2080P0203X
Pediatric Critical Care Medicine Physician
MD460773
PA
Other
Enumeration date
05/05/2013
Last updated
11/28/2023
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