Organization
SURYA K. VANGORE M.D. P.C
Active
Parent organization
SURYA K. VANGORE M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURYA K. VANGORE M.D.
Authorized official
DR. SURYA KUMARI VANGORE (PRIMARY CARE PHYSCIAN)
(215) 455-3444
Entity
Organization
Contact information
Practice address
431 W ROOSEVELT BLVD, PHILADELPHIA, PA 19120-4148
(215) 455-3444
(215) 455-3445
Mailing address
431 W ROOSEVELT BLVD, PHILADELPHIA, PA 19120-4148
(215) 455-3444
(215) 455-3445
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MD038910L
PA
Other
Enumeration date
12/19/2007
Last updated
03/02/2020
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