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Organization
CHILDWAY PEDIATRIC SERVICES
Active
Organization
CHILDWAY PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JORDAN (CEO)
(215) 362-4950
Entity
Organization
Contact information
Practice address
2328 N BROAD ST, COLMAR, PA 18915-9725
(215) 362-4950
Mailing address
607 MAIN STREET, LANSDALE, PA 19446
(121) 536-2495
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN586241
PA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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