Organization
SCHC PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE M MANGAN (CEO)
(215) 427-8881
Entity
Organization
Contact information
Practice address
3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-8881
(215) 427-4494
Mailing address
3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-8881
(215) 427-4494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017981160001
—
PA
Enumeration date
07/26/2010
Last updated
07/26/2010
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