Individual
DR. GARY A. LINDENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 WALNUT ST, MOB, 5TH FLOOR, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222
Mailing address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD030541E
PA
2086S0102X
Surgical Critical Care Physician
MD030541E
PA
2086S0127X
Trauma Surgery Physician
Primary
MD030541E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001243845
—
PA
05
—
0064271
—
NJ
Enumeration date
07/20/2006
Last updated
04/02/2015
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