Basic Information
| Provider Information | |||||||||
| NPI: | 1528064888 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRESSMAN | ||||||||
| FirstName: | GREGG | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 PENN BLVD | ||||||||
| Address2: | STE 201 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191441476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159518930 | ||||||||
| FaxNumber: | 2159518558 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 PENN BLVD | ||||||||
| Address2: | TOWER BUILDING 2ND FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191441476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159518933 | ||||||||
| FaxNumber: | 2159518930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2005 | ||||||||
| LastUpdateDate: | 10/10/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD028168E | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 232664784 | 01 | PA | TAX ID# | OTHER |