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Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, VIVACQUA PAV, SUITE 441, CHESTER, PA 19013-3902
(610) 876-9640
(610) 876-1881
Mailing address
1 MEDICAL CENTER BLVD, VIVACQUA PAV, SUITE 441, CHESTER, PA 19013-3902
(610) 876-9640
(610) 876-1881
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
01/15/2021
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