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Organization

ENDOCRINE METABOLIC ASSOC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN B NAGELBERG MD (PRESIDENT EMA)
(215) 969-9511
Entity
Organization

Contact information

Practice address
9501 ROOSEVELT BLVD, SUITE 400, PHILADELPHIA, PA 19114-1025
(215) 969-9511
(215) 969-9512
Mailing address
9501 ROOSEVELT BLVD, SUITE 400, PHILADELPHIA, PA 19114-1025
(215) 969-9511
(215) 969-9512

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000074435
HIGHMARK BLUE SHIELD
PA
05
0007539700003
PA
01
0048627000
IBC
PA
Enumeration date
06/17/2006
Last updated
05/05/2016
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