METHODIST ASSOCIATES IN HEALTHCARE GYN NPI 1336183581

NPI Information

METHODIST ASSOCIATES IN HEALTHCARE GYN is a gynecology obstetrics gynecology in Philadelphia, PA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee METHODIST ASSOCIATES IN HEALTHCARE GYN NPI is 1336183581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2301 S BROAD ST
SUITE 102
PHILADELPHIA, PA
ZIP 19148-542
Phone: (215) 952-5175
Fax: (215) 463-2540

The provider's authorized official is Hristos Ristas .
The authorized official title is Vp, Contracting and has the following contact phone number (215) 955-9298.

The CLIA number assigned to this NPI record is 39D1039462 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 10/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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