Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, VIVACQUA PAVILION #441, CHESTER, PA 19013-3902
(610) 876-9640
(610) 876-1881
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
812151
PA BLUE SHIELD GROUP
PA
Enumeration date
03/28/2007
Last updated
10/23/2007
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