Provider Demographics
NPI:1609809318
Name:HOBBIB, GEORGE C (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:C
Last Name:HOBBIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:215-807-8235
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD074126L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018567390002Medicaid
PA0018567390003Medicaid
PA07645OtherHEALTH PARTNERS
PA20045134OtherAMERIHEALTH MERCY
PA2009555000OtherKEYSTONE IBC
PA01856739-02OtherAMERICHOICE- FRANKFORD
PA1316499OtherHIGHMARK BLUE SHIELD
PA01856739-03OtherAMERICHOICE- FRANKFORD
PA1144591OtherKEYSTONE MERCY
PA1316499OtherPERSONAL CHOICE
PA452729OtherAETNA CONTRACT
PA5204914OtherCIGNA
PA0018567390001Medicaid
PA01856739-01OtherAMERICHOICE- TORRES
PA1991092OtherFIRST HEALTH
PA07645OtherHEALTH PARTNERS
PA01856739-02OtherAMERICHOICE- FRANKFORD