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1800 Lombard St Suite 100, Pepper Pavilion Philadelphia PA 19146-8400 | |
| (215) 893-2532 | |
| (215) 893-2496 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1800 Lombard St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Anastasia Mylonas (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2158935953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1800 Lombard St Suite 100, Pepper Pavilion Philadelphia PA 19146-8400 Ph: (215) 893-2532 | 1800 Lombard St Suite 100, Pepper Pavilion Philadelphia PA 19146-8400 Ph: (215) 893-2532 |
| NPI Number | 1477561595 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477561595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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