Organization
PHILADELPHIA GASTROENTEROLOGY CONSULTANTS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S. TANKER D.O. (PRESIDENT)
(215) 742-9900
Entity
Organization
Contact information
Practice address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-3062
(215) 742-9900
(215) 742-7051
Mailing address
700 COTTMAN AVE, SUITE 201, PHILADELPHIA, PA 19111-3062
(215) 742-9900
(215) 742-7051
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001647855/0004
—
PA
05
—
001647855/0005
—
PA
Enumeration date
07/07/2006
Last updated
10/30/2007
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