Individual
SANJU GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9730 WYNMILL RD, PHILADELPHIA, PA 19115-1804
(267) 978-1582
Mailing address
9730 WYNMILL RD, PHILADELPHIA, PA 19115-1804
(267) 978-1582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD462505
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MT212557
PA
Other
Enumeration date
06/25/2014
Last updated
04/19/2018
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