# PHILADELPHIA VA MEDICA CENTER

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

## Provider details

- **NPI number:** 1326188970
- **Authorized official:** DR. ADRIAN T CHAN M.D. (FELLOW)
- **Authorized official phone:** (215) 823-5800

## Contact information

- **Practice address:** PADRECC , PHILADELPHIA VA MEDICAL CENTER, UNIVERSITY AND WOODLAND AVENUE, PHILADELPHIA, PA 19104
- **Practice address phone:** (215) 823-5800
- **Practice address fax:** (215) 823-4603
- **Mailing address:** 4816 PINE ST, APT B202, PHILADELPHIA, PA 19143-1721
- **Mailing address phone:** (215) 748-1346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 086131 | OH | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020
