# CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF

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

## Provider details

- **NPI number:** 1518541887
- **Authorized official:** CHANTE L JACKSON (PAYER SUPERVISOR)
- **Authorized official phone:** (215) 662-6187

## Contact information

- **Practice address:** 701 E MARSHALL ST \# 141, WEST CHESTER, PA 19380-4412
- **Practice address phone:** (215) 662-4000
- **Mailing address:** 701 E MARSHALL ST \# 141, WEST CHESTER, PA 19380-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2021
- **Last updated:** 05/12/2021