NPI 1104152198 · live from the CMS NPI Registry
2000 Sg Associates PC
Family Medicine in Philadelphia, PA. National Provider Identifier 1104152198, active.
NPI record
| NPI | 1104152198 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2000 Spring Garden St, Philadelphia, PA 19130 |
| Practice phone | 215-564-3618 |
| Enumerated | October 26, 2009 |
| Last updated | October 26, 2009 |
| Authorized official | Jeffrey Lincow, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.