Dr. Efren Costibolo Go
M.D. | Pediatrics | Male
Dr. Efren Costibolo Go, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Efren Costibolo Go is
1720 S Broad St, Health Care Center #2, Philadelphia, Pennsylvania - 19145-2315. He can be contacted on phone at
215-685-1803 and fax number 215-683-1815.
Dr. Efren Costibolo Go is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Efren Costibolo Go is
1841202140 which was assigned by NPPES on 13 Aug, 2006 and it was last updated on 08 Jul, 2007.
Dr. Efren Costibolo Go license number is
MD046838L for Pediatrics (208000000X) in Pennsylvania.
Dr. Efren Costibolo Go is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Efren Costibolo Go basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Efren Costibolo Go |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Efren Costibolo Go address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1720 S Broad St, Health Care Center #2
Philadelphia, PA, 19145-2315
United States |
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| Phone Number : | 215-685-1803 |
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| Fax Number : | 215-683-1815 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841202140 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Efren Costibolo Go are as mentioned. Primary taxonomy code for Dr. Efren Costibolo Go, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD046838L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Efren Costibolo Go such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0014257120001 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 500 S Broad St, Suite 360
Philadelphia, PA, 19146-1613
United States |
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| Phone Number : | 215-685-6769 |
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| Fax Number : | 215-685-6732 |
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Business Location:
Patients can refer following map for directions to
Dr. Efren Costibolo Go practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.