Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric and Adolescent Medicine Group

Organization Pediatric Adolescent Medicine Physician · NPI 1801836671

Pediatric and Adolescent Medicine Group provides Pediatric Adolescent Medicine Physician services in Philadelphia, Pennsylvania. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2129 W Oregon Ave First Fl Rear
Philadelphia, PA 19145-4131
Phone: (215) 462-6106
Fax: (215) 462-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1801836671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Magliocco — Office Manager · 215462616
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 21, 2022
Mailing address2129 W Oregon Ave, First Floor Rear, Philadelphia, PA 19145-4131

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