Provider Demographics
NPI:1558660423
Name:LOZANO GUZMAN, GERMAN ANDRES (MD)
Entity Type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:ANDRES
Last Name:LOZANO GUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Mailing Address - Street 2:160 E ERIE AVENUE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134
Mailing Address - Country:US
Mailing Address - Phone:215-427-5190
Mailing Address - Fax:215-427-5529
Practice Address - Street 1:ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
Practice Address - Street 2:160 E ERIE AVENUE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134
Practice Address - Country:US
Practice Address - Phone:215-427-5190
Practice Address - Fax:215-427-5529
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9638208000000X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY931910592OtherGHI