# THE CHILDREN HOSPITAL OF PHILADELPHIA

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

## Provider details

- **NPI number:** 1629403753
- **Authorized official:** DR. ANDREA JUDIT MACHNITZ M.D. (RESIDENT)
- **Authorized official phone:** (609) 553-9021

## Contact information

- **Practice address:** 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
- **Practice address phone:** (609) 553-0902
- **Mailing address:** 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
- **Mailing address phone:** (609) 553-0902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 25MA09896400 | NJ | Yes |
| 282N00000X | General Acute Care Hospital | MT202078 | PA | — |

## Other

- **Enumeration date:** 09/09/2013
- **Last updated:** 06/28/2016