Organization
G.O. MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE OOMMEN M.D. (OWNER)
(215) 236-7530
Entity
Organization
Contact information
Practice address
1216 N BROAD ST, PHILADELPHIA, PA 19121-5103
(215) 236-7530
(215) 236-8206
Mailing address
1216 N BROAD ST, PHILADELPHIA, PA 19121-5103
(215) 236-7530
(215) 236-8206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD028041E
PA
Other
Enumeration date
07/19/2006
Last updated
07/10/2013
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