Organization
CROZER-CHESTER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK GAVIN (COO)
(610) 338-8228
Entity
Organization
Contact information
Practice address
800 MACDADE BLVD, COLLINGDALE, PA 19023
(610) 447-2000
(610) 447-6620
Mailing address
1 MEDICAL CENTER BOULEVARD, UPLAND, PA 19013-3902
(610) 447-2000
(610) 447-6620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
037201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10076058329
—
PA
01
—
349217000
MAGELLAN
PA
Enumeration date
01/30/2007
Last updated
01/21/2014
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