Individual
DR. KENNETH J. NEUBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 SANSOM STREET, SUITE 239, PHILADELPHIA, PA 19107-5004
(215) 955-6844
(215) 955-2526
Mailing address
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
(215) 955-2526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-025774-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000907637
—
PA
05
—
556602
—
NJ
Enumeration date
07/13/2006
Last updated
03/18/2015
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