Augoustides, John G
Augoustides, John G is an individual health care provider with primary practice located at 3400 Civic Center Blvd , Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Augoustides, John G can be contacted via phone (215) 349-8310.Contact Information
Primary practice address
3400 Civic Center Blvd
Philadelphia PA 19104-5127
Phone: (215) 349-8310
Fax: (215) 662-2739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD064521L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | MD064521L | Pennsylvania |
Profile Details
| NPI number | 1093758302 |
|---|---|
| LBN Legal business name | Augoustides, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 23rd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093758302 | NPPES |
| Pennsylvania | MEDICAID | 0017128370001 |
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