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Organization

ST.CHRIS CARE AT NORTHEAST PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization

Contact information

Practice address
9501 ROOSEVELT BLVD STE 410, PHILADELPHIA, PA 19114-1029
(214) 969-4917
(215) 969-5875
Mailing address
PO BOX 822502, PHILADELPHIA, PA 19182-1029
(214) 969-4917
(215) 969-5875

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/08/2006
Last updated
06/26/2014
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