Geller, Evan

Geller, Evan is an individual health care provider with primary practice located at 3601 A St , Philadelphia PA 19134-1043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Geller, Evan can be contacted via phone (215) 427-5230.

Contact Information

Primary practice address
3601 A St Philadelphia PA 19134-1043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X MD043322E Pennsylvania

Profile Details

NPI number 1013973981
LBN Legal business name Geller, Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013973981 NPPES
Pennsylvania MEDICAID 0012107280015

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