Provider Demographics
NPI:1477561595
Name:THE GRADUATE HOSPITAL GASTROENTEROLOGY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:THE GRADUATE HOSPITAL GASTROENTEROLOGY ASSOCIATES, P.C.
Other - Org Name:G.I. ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLONAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-893-5953
Mailing Address - Street 1:1800 LOMBARD ST
Mailing Address - Street 2:SUITE 100, PEPPER PAVILION
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-8400
Mailing Address - Country:US
Mailing Address - Phone:215-893-2532
Mailing Address - Fax:215-893-2496
Practice Address - Street 1:1800 LOMBARD ST
Practice Address - Street 2:SUITE 100, PEPPER PAVILION
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-8400
Practice Address - Country:US
Practice Address - Phone:215-893-2532
Practice Address - Fax:215-893-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty