Organization
SOUTH PHILADELPHIA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NGUYEN MD (PARTNER)
(215) 467-3515
Entity
Organization
Contact information
Practice address
1408 S. BROAD STREET FLOOR 2, PHILADELPHIA, PA 19146
(215) 467-3515
(215) 467-0338
Mailing address
1408 S. BROAD STREET FLOOR 2, PHILADELPHIA, PA 19146
(215) 467-3515
(215) 467-0338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025843220001
—
PA
05
—
1027096140001
—
PA
05
—
1027096410002
—
PA
05
—
1027571930001
—
PA
05
—
1027885740001
—
PA
Enumeration date
05/07/2006
Last updated
10/25/2018
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