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Organization

THE CHILDRENS HOSPITAL OF PHILADELPHIA

Active
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Other names
CHOP Primary Care Sunnybrook
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Authorized official
FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization

Contact information

Practice address
800 HERITAGE DR STE 820, POTTSTOWN, PA 19464-9220
(610) 326-8660
(610) 326-8408
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2897
(484) 324-7706

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007709910131
PA
Enumeration date
06/30/2023
Last updated
01/22/2025
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