Individual
PANAGIOTIS GEORGELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1503 LANSDOWNE AVE, SUITE 3002, DARBY, PA 19023-1330
(610) 237-4995
(610) 237-7311
Mailing address
1503 LANSDOWNE AVE, STE 3002, DARBY, PA 19023-1330
(610) 237-4995
(610) 237-7311
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD422513
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001582552
PUSCHE
—
05
—
1008378110001
—
PA
01
—
2122157
MAMSI
—
01
—
226145800
KHPE
—
01
—
30013204
KMHP
—
01
—
3537588
USHC
—
01
—
5597281
CIGNA
—
01
—
7068301
AETNA
—
Enumeration date
03/21/2006
Last updated
06/23/2011
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