# THE CHILDREN'S HOSPITAL OF PHILADELPHIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023347226
- **Authorized official:** MRS. PHILOMENA MARY KONEN CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (856) 264-1858

## Contact information

- **Practice address:** 34TH & CIVIC CENTER AVE, PHILADELPHIA, PA 19104
- **Practice address phone:** (267) 425-4666
- **Mailing address:** 19 N GREEN ACRE DR, CHERRY HILL, NJ 08003-1003
- **Mailing address phone:** (267) 425-4666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | SP007605 | PA | Yes |

## Other

- **Enumeration date:** 12/17/2009
- **Last updated:** 12/17/2009