South Philadelphia Pediatrics

LBN: South Philadelphia Pediatrics
South Philadelphia Pediatrics is an health care organization with primary practice located at 1408 S. Broad Street Floor 2 , Philadelphia PA 19146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. South Philadelphia Pediatrics can be contacted via phone (215) 467-3515, or through Nguyen, Christine via phone (215) 467-3515.

Contact Information

Primary practice address
1408 S. Broad Street Floor 2 Philadelphia PA 19146
Fax: (215) 467-0338
Website:
Authorized official contact:
Name: Nguyen, Christine Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1235188475
LBN Legal business name South Philadelphia Pediatrics
DBA Doing business as
Authorized official Nguyen, Christine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2006
Last updated Oct 25th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235188475 NPPES
Pennsylvania MEDICAID 1027096410002
Pennsylvania MEDICAID 1027885740001
Pennsylvania MEDICAID 1025843220001
Pennsylvania MEDICAID 1027096140001
Pennsylvania MEDICAID 1027571930001

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