Organization
THA CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMI BENTON MD (MEDICAL DIRECTOR/ CHILD AND ADOLESC)
(215) 590-7530
Entity
Organization
Contact information
Practice address
3440 MARKET ST, BEHAVIORAL HEALTH CENTER, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7431
(215) 590-5052
Mailing address
3440 MARKET ST, BEHAVIORAL HEALTH CENTER, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7431
(215) 590-5052
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
SP005551B
PA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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