NPI 1023506276

Shriners Hospitals for Children

Organisation Anesthesiology Physician Philadelphia, PA

Practice location

Address: 3551 N Broad St, Philadelphia, PA 19140-4160
Phone: (215) 430-4000
Fax: (215) 430-4079
Mailing address: PO Box 8500 Lockbox #7642, Philadelphia, PA 19178-7642

Authorised official

Name: Jerry G. Gantt
Title: President
Phone: (813) 281-0300

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Pennsylvania →

Pediatric Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP3000X

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Pennsylvania →

Registry record

NPI: 1023506276
Entity type: Organization
NPI issued: 24 Apr 2018
Record last updated: 8 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.