# PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA

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

## Provider details

- **NPI number:** 1306988498
- **Authorized official:** VERA BAILEY (CFO)
- **Authorized official phone:** (215) 351-5536

## Contact information

- **Practice address:** 216 W STATE ST, MEDIA, PA 19063-3113
- **Practice address phone:** (215) 351-5500
- **Practice address fax:** (215) 351-5595
- **Mailing address:** 1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
- **Mailing address phone:** (215) 351-5500
- **Mailing address fax:** (215) 351-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/13/2014