Organization
PUENTES DE SALVD
Active
Organization
PUENTES DE SALVD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DACEY BOINAIV STRATTON CRNP (MEDICAL DIRECTOR)
(207) 664-8738
Entity
Organization
Contact information
Practice address
1700 SOUTH STREET, PHILADELPHIA, PA 19146
(215) 454-8000
(215) 893-2251
Mailing address
1700 SOUTH STREET, PHILADELPHIA, PA 19146
(215) 454-8000
(215) 893-2251
Taxonomy
Speciality
Code
Description
License number
State
261QM1000X
Migrant Health Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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