Organization
CRICKET MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD R PHELAN MD (PRESIDENT)
(215) 248-5600
Entity
Organization
Contact information
Practice address
39 E CHESTNUT HILL AVE, PHILADELPHIA, PA 19118-2728
(215) 248-5600
(215) 242-0160
Mailing address
39 E CHESTNUT HILL AVE, PHILADELPHIA, PA 19118-2728
(215) 248-5600
(215) 242-0160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2010
Last updated
02/18/2011
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