Organization
CHESPENN HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DAVIS M.D. (PRESIDENT AND CEO)
(610) 485-3800
Entity
Organization
Contact information
Practice address
5 S STATE RD, UPPER DARBY, PA 19082-2013
(610) 352-6585
Mailing address
1510 CHESTER PIKE STE 200, EDDYSTONE, PA 19022-1377
(610) 485-3800
(610) 485-4221
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/07/2020
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