Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Gynecologic Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, VIVACQUA PAV, SUITE 441, CHESTER, PA 19013-3902
(610) 876-9640
(610) 876-1881
Mailing address
1 MEDICAL CENTER BLVD, VIVACQUA PAV, SUITE 441, CHESTER, PA 19013-3902
(610) 876-9640
(610) 876-1881
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
01/15/2021
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