Blake Gastroenterology Associates, Llc

NPI 1386729705 - Internal Medicine - 207RG0100X

NPI Details
NPI 1386729705
Enumeration Date 10/25/2006
Last Updated 06/27/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES STEVEN JAMES
Position CEO
Phone (215) 849-4902
Fax (215) 849-4907
Practice Location
6827-31 GERMANTOWN AVE
PHILADELPHIA PA, 19119-2113, US
Phone (215) 849-4902
Fax (215) 849-4907
Business Location
6827-31 GERMANTOWN AVE
PHILADELPHIA PA, 19119-2113, US
Phone (215) 849-4902
Fax (215) 849-4907
Toxanomy
Taxonomy Code 207RG0100X
License State Pennsylvania
License Number OS007404E
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According to our database, Blake Gastroenterology Associates, Llc NPI is 1386729705, taxonomy code is 207RG0100X and license number is OS007404E, license state is located at Pennsylvania. Blake Gastroenterology Associates, Llc physically located at 6827-31 Germantown Ave, Philadelphia PA, 19119-2113. NPI Number 1033115704 has the healthcare provider type.

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1386729705 NPI number is provided on an as is basis without warranty of any kind. 1386729705 is maintained by the National Plan & Provider Enumeration System. The contents of Blake Gastroenterology Associates, Llc are for informational purposes only.