Hergenroeder, Georgene Ellen
Hergenroeder, Georgene Ellen is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-3364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Hergenroeder, Georgene Ellen can be contacted via phone (215) 590-3749.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-3364
Phone: (215) 590-3749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD480615 | Pennsylvania |
Profile Details
| NPI number | 1225560352 |
|---|---|
| LBN Legal business name | Hergenroeder, Georgene Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2017 |
| Last updated | Aug 23rd, 2023 - about 2 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.
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