Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Adolescent Medicine Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-4681
Entity
Organization
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-3802
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
05/11/2022
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