Nelson Medical Group | |
255 S 17th St Suite 2001 Philadelphia PA 19103-6231 | |
(215) 546-7049 | |
(215) 546-8646 |
Full Name | Nelson Medical Group |
---|---|
Speciality | Pediatrics |
Location | 255 S 17th St, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Gregory Allen Nelson (CEO) |
Authorized Official Contact | 2155467049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nelson Medical Group 255 S 17th St Suite 2001 Philadelphia PA 19103-6231 Ph: (215) 546-7049 | Nelson Medical Group 255 S 17th St Suite 2001 Philadelphia PA 19103-6231 Ph: (215) 546-7049 |
NPI Number | 1952323461 |
---|---|
Provider Enumeration Date | 07/24/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952323461 | NPI | - | NPPES |
1912952789 | Other | PA | NPI# |
MD050257L | Other | PA | MEDICAL LICENCE |
OS006039L | Other | PA | LICENSE # |
MD051318L | Other | PA | LICENSE # |
MD050204L | Other | PA | LISCENCE NUMBER |
MD050257L | Other | PA | MEDICAL LISCENCE |
MD013724E | Other | PA | MEDICAL LISCENCE |
MD004666E | Other | PA | MEDICAL LISCENCE |
MD033656L | Other | PA | LICENSE # |
C31657 | Other | PA | UPIN |
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