Organization
PHILADELPHIA VAMC
Active
Other names
CHESTNUT STREET VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
4219 CHESTNUT ST, PHILADELPHIA, PA 19104-3014
(717) 277-6565
Mailing address
PO BOX 94446, CLEVELAND, OH 44101-4446
(717) 277-6565
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
01/05/2023
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