Organization · NPI-2

2000 Sg Associates PC

Family Medicine · Philadelphia, PA

NPI number1104152198
StatusActive
Last updated in NPPESOct 26, 2009

Details

NPI
1104152198
Entity type
Organization (NPI-2)
Legal business name
2000 Sg Associates PC
Organization subpart
No
Enumeration date
Oct 26, 2009
Last updated
Oct 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2000 Spring Garden St
Philadelphia, PA 19130-3994

Phone 215-564-3618 · Fax 215-564-2239

Mailing address

2000 Spring Garden St
Philadelphia, PA 19130-3994

Phone 215-564-3618 · Fax 215-564-2239

Authorized official

Jeffrey Lincow
Ceo
2152248980

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