# ROOSEVELT EMERGENCY PHYSICIANS

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

## Provider details

- **NPI number:** 1689903189
- **Authorized official:** RUSSELL HARRIS (OWNER)
- **Authorized official phone:** (215) 442-5000

## Contact information

- **Practice address:** 801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
- **Practice address phone:** (215) 787-9000
- **Mailing address:** 801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | MA054271 | PA | Yes |

## Other

- **Enumeration date:** 12/11/2009
- **Last updated:** 12/11/2009
