GERMANTOWN PEDIATRICS P.C. NPI 1083669055

NPI Information

GERMANTOWN PEDIATRICS, P.C. is an adolescent medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. GERMANTOWN PEDIATRICS, P.C. NPI is 1083669055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 PENN BLVD
SUITE 103
PHILADELPHIA, PA
ZIP 19144-416
Phone: (215) 842-0406
Fax: (215) 842-3215

The provider's authorized official is Pasquale A Mignano .
The authorized official title is Physician and has the following contact phone number (215) 951-8786.

The CLIA number assigned to this NPI record is 39D1084380 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.

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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