| Nelson Medical Group | |
|
255 S 17th St Suite 2001 Philadelphia PA 19103-6231 | |
| (215) 546-7049 | |
| (215) 546-8646 |
| Full Name | Nelson Medical Group |
|---|---|
| Speciality | Pediatrics |
| Location | 255 S 17th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gregory Allen Nelson (CEO) |
| Authorized Official Contact | 2155467049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nelson Medical Group 255 S 17th St Suite 2001 Philadelphia PA 19103-6231 Ph: (215) 546-7049 | Nelson Medical Group 255 S 17th St Suite 2001 Philadelphia PA 19103-6231 Ph: (215) 546-7049 |
| NPI Number | 1952323461 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952323461 | NPI | - | NPPES |
| 1912952789 | Other | PA | NPI# |
| MD050257L | Other | PA | MEDICAL LICENCE |
| OS006039L | Other | PA | LICENSE # |
| MD051318L | Other | PA | LICENSE # |
| MD050204L | Other | PA | LISCENCE NUMBER |
| MD050257L | Other | PA | MEDICAL LISCENCE |
| MD013724E | Other | PA | MEDICAL LISCENCE |
| MD004666E | Other | PA | MEDICAL LISCENCE |
| MD033656L | Other | PA | LICENSE # |
| C31657 | Other | PA | UPIN |
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