Organization
GREATER NORTHEAST GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN MARK MERMELSTEIN MD (PRESIDENT)
(215) 634-5595
Entity
Organization
Contact information
Practice address
7439 FRANKFORD AVE, PHILADELPHIA, PA 19136
(215) 333-1377
(215) 333-1399
Mailing address
7439 FRANKFORD AVE, PHILADELPHIA, PA 19136-3600
(215) 333-1377
(215) 333-1399
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD033183E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011228030002
—
PA
Enumeration date
03/13/2007
Last updated
06/07/2018
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