Mt. Airy Pediatrics, P.C.
Pediatrics in Philadelphia, PA. Organization (NPI-2).
NPI number1730516659
StatusActive
Last updated in NPPESApr 26, 2022
Details
- NPI
- 1730516659
- Entity type
- Organization (NPI-2)
- Legal business name
- Mt. Airy Pediatrics, P.C.
- Organization subpart
- No
- Enumeration date
- Oct 9, 2013
- Certification date
- Apr 26, 2022
- Last updated
- Apr 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Mt. Airy Pediatrics, PC (Doing Business As)
Practice location
6673 Germantown AvePhiladelphia, PA 19119-2252
Phone 215-247-2996 · Fax 215-247-7504
Mailing address
6673 Germantown AvePhiladelphia, PA 19119-2252
Phone 215-247-2996 · Fax 215-247-7504
Authorized official
Jennifer Louis Jadotte
Practice Manager
2152472996
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