Organization
NAZARETH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A WAJDA (V. P. OF FINANCE CFO)
(215) 335-6043
Entity
Organization
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6043
(215) 335-6303
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6043
(215) 335-6303
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007654720010
—
PA
05
—
1007654720011
—
PA
05
—
1007654720013
—
PA
05
—
1007654720015
—
PA
Enumeration date
02/28/2007
Last updated
08/22/2020
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