Organization
PHILADELPHIA GASTROENTEROLOGY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIE ANDREWS (OFFICE MANAGER)
(215) 463-1483
Entity
Organization
Contact information
Practice address
525 JAMESTOWN ST, SUITE 101, PHILADELPHIA, PA 19128-1751
(215) 463-1483
(215) 483-9185
Mailing address
525 JAMESTOWN ST, SUITE 101, PHILADELPHIA, PA 19128-1751
(215) 463-1483
(215) 483-9185
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000893827-0001
—
PA
05
—
0055417
—
NJ
Enumeration date
07/03/2006
Last updated
02/14/2017
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