Providence Pediatric Practice Llc
Pediatrics
Providence Pediatric Practice Llc is a Media, Pennsylvania based Pediatric center with medical specialization in
General Pediatrics.
It is located at
100 Granite Dr, Suite 200, Media, Pennsylvania - 19063-5134. They can be contacted on phone at
610-565-1945 and fax number 610-892-7848.
NPI number (Unique professional ID) for Providence Pediatric Practice Llc is
1932160629 which was assigned by NPPES on 31 Mar, 2006 and it was last updated on 18 Mar, 2009.
Providence Pediatric Practice Llc 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:
Providence Pediatric Practice Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Providence Pediatric Practice Llc |
|---|
Business Address:
Providence Pediatric Practice Llc 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 : | 100 Granite Dr, Suite 200
Media, PA, 19063-5134
United States |
|---|
| Phone Number : | 610-565-1945 |
|---|
| Fax Number : | 610-892-7848 |
|---|
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 : | 1932160629 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 31 Mar, 2006 |
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| Last Updated On : | 18 Mar, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Jacquelynh Gibbons |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PHYSICIAN SENIOR PARTNER |
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| Phone Number : | 610-565-1945 |
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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 Providence Pediatric Practice Llc are as mentioned. Primary taxonomy code for Providence Pediatric Practice Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
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 : | 100 Granite Dr, Suite 200
Media, PA, 19063-5134
United States |
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| Phone Number : | 610-565-1945 |
|---|
| Fax Number : | 610-892-7848 |
|---|
Business Location:
Patients can refer following map for directions to
Providence Pediatric Practice Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.