GERMANTOWN PEDIATRICS P.C. NPI 1083669055

NPI Information

  • NPI: 1083669055
  • Provider Name: GERMANTOWN PEDIATRICS, P.C.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • CLIA Number: 39D2053761
  • Address: 2 PENN BLVD
    SUITE 103
    PHILADELPHIA, PA
    ZIP 19144
  • Phone: (215) 842-0406

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NPI Details

GERMANTOWN PEDIATRICS, P.C. is an adolescent medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. GERMANTOWN PEDIATRICS, P.C. NPI is 1083669055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 PENN BLVD
SUITE 103
PHILADELPHIA, PA
ZIP 19144-416
Phone: (215) 842-0406
Fax: (215) 842-3215

The provider's authorized official is Pasquale A Mignano .
The authorized official title is Physician and has the following contact phone number (215) 951-8786.

The CLIA number assigned to this NPI record is 39D2053761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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