Provider Demographics
NPI:1568457596
Name:SONSINI, GREGG ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:GREGG
Middle Name:ALBERT
Last Name:SONSINI
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 1:4829 STREET RD
Mailing Address - Street 2:SUITE 100, MARGIOTTI & KROLL PEDIATRICS, P.C.
Mailing Address - City:TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053
Mailing Address - Country:US
Mailing Address - Phone:215-364-5800
Mailing Address - Fax:215-364-5899
Practice Address - Street 1:847 EASTON RD
Practice Address - Street 2:SUITE 2500
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2906
Practice Address - Country:US
Practice Address - Phone:215-918-5775
Practice Address - Fax:215-918-5776
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD037119E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1130583Medicare ID - Type Unspecified