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Organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILOMENA MARY KONEN CRNP (NURSE PRACTITIONER)
(856) 264-1858
Entity
Organization
Contact information
Practice address
34TH & CIVIC CENTER AVE, PHILADELPHIA, PA 19104
(267) 425-4666
Mailing address
19 N GREEN ACRE DR, CHERRY HILL, NJ 08003-1003
(267) 425-4666
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
SP007605
PA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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