Organization
THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILOMENA MARY KONEN CRNP (NURSE PRACTITIONER)
(856) 264-1858
Entity
Organization
Contact information
Practice address
34TH & CIVIC CENTER AVE, PHILADELPHIA, PA 19104
(267) 425-4666
Mailing address
19 N GREEN ACRE DR, CHERRY HILL, NJ 08003-1003
(267) 425-4666
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
SP007605
PA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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