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

Dr. Georgene Ellen Hergenroeder, MD

Individual provider Pediatric Pulmonology Physician · NPI 1225560352

Dr. Georgene Ellen Hergenroeder, MD is a Pediatric Pulmonology Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-3364
Phone: (215) 590-3749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence MD480615 (PA)

Record details

NPI number1225560352
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

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