Individual
ADDA GRIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4319
(215) 590-3174
(215) 590-3053
Mailing address
100 E PENN SQ, 9TH FLOOR, CHCA, PHILADELPHIA, PA 19107-3323
(267) 425-9200
(267) 425-9298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD056635L
PA
2080P0205X
Pediatric Endocrinology Physician
Primary
MD056635L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001752494
—
PA
05
—
7947208
—
NJ
Enumeration date
07/06/2006
Last updated
02/10/2014
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