Dr Efren Costibolo Go, MD - Pediatrics in Philadelphia, PA

Dr Efren Costibolo Go, MD is a Pediatrics physician based in Philadelphia, Pennsylvania. Dr Efren Costibolo Go is licensed to practice in Pennsylvania (license number MD046838L) and his current practice location is 1720 S Broad St, Health Care Center #2, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 685-1803.

NPI number for Dr Efren Costibolo Go is 1841202140 and his current mailing address is 500 S Broad St, Suite 360, Philadelphia, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841202140.

Contact Information

Dr Efren Costibolo Go, MD
1720 S Broad St, Health Care Center #2,
Philadelphia, PA 19145-2315
(215) 685-1803
(215) 683-1815

Map and Direction




Physician's Profile

Full NameDr Efren Costibolo Go
GenderMale
SpecialityPediatrics
Location1720 S Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1841202140
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Efren Costibolo Go such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841202140NPI-NPPES
0014257120001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD046838L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Efren Costibolo Go is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Efren Costibolo Go, MD
500 S Broad St, Suite 360,
Philadelphia, PA 19146-1613

Ph: (215) 685-6769
Dr Efren Costibolo Go, MD
1720 S Broad St, Health Care Center #2,
Philadelphia, PA 19145-2315

Ph: (215) 685-1803

Reviews and Comments


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