# PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA

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

## Provider details

- **NPI number:** 1508000308
- **Authorized official:** VERA BAILEY (CFO)
- **Authorized official phone:** (215) 351-5536

## Contact information

- **Practice address:** 2751 COMLY RD, PHILADELPHIA, PA 19154-2101
- **Practice address phone:** (267) 687-6640
- **Practice address fax:** (215) 464-2246
- **Mailing address:** 1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
- **Mailing address phone:** (215) 351-5500
- **Mailing address fax:** (351) 351-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | NULL | Yes |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2009
- **Last updated:** 04/23/2009