Individual
DR. ANDREW JOSEPH GANGEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5864
(215) 707-6867
Mailing address
245 N 15TH ST, MAIL STOP 427, PHILADELPHIA, PA 19102-1101
(215) 762-7698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT204161
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD0457985
PA
207RP1001X
Pulmonary Disease Physician
MD0457985
PA
Other
Enumeration date
05/29/2013
Last updated
05/21/2020
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