Organization
PHILADELPHIA VETERANS AFFAIRS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT S QUEMORE MSW,LSW (MEDICAL SOCIAL WORKER)
(610) 937-9687
Entity
Organization
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
SW000497E
PA
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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