Organization
PEDIATRIC AND ADOLESCENT MEDICINE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STELLA C MAGLIOCCO (OFFICE MANAGER)
215462616
Entity
Organization
Contact information
Practice address
2129 W OREGON AVE, FIRST FLOOR REAR, PHILADELPHIA, PA 19145-4131
(215) 462-6106
(215) 462-5922
Mailing address
2129 W OREGON AVE, FIRST FLOOR REAR, PHILADELPHIA, PA 19145-4131
(215) 462-6106
(215) 462-5922
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
07/21/2022
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