Organization · NPI-2

7622 Medical Center Dba 1900 S.G. Associates

Family Medicine, Adult Medicine · Philadelphia, PA

NPI number1699979161
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1699979161
Entity type
Organization (NPI-2)
Legal business name
7622 Medical Center Dba 1900 S.G. Associates
Organization subpart
No
Enumeration date
Jun 11, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineOS003726-LPAYes

Other names

  • 1900 S.G. Associates (Doing Business As)

Practice location

2000 Spring Garden St
Philadelphia, PA 19130-3805

Phone 215-564-3618 · Fax 215-564-2239

Mailing address

2000 Spring Garden St
Philadelphia, PA 19130-3805

Phone 215-564-3618 · Fax 215-564-2239

Authorized official

Arnold S. Lincow
Medical Director - President
2155643618

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