Individual
DR. GEORGENE ELLEN HERGENROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-3364
(215) 590-3749
Mailing address
3401 CIVIC CENTER BLVD, SUITE M975, PHILADELPHIA, PA 19104-3364
(713) 517-0028
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD480615
PA
Other
Enumeration date
03/29/2017
Last updated
08/23/2023
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