Organization
PEDIATRIC PULMONARY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY EWIG M.D. (PRESIDENT PEDIATRIC PULMONARY ASSOC)
(727) 767-4146
Entity
Organization
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-3500
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029947970001
—
PA
Enumeration date
11/08/2005
Last updated
11/26/2018
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