Organization
STC OPCO LLC
Active
Other names
ST CHRISTOPHER'S HOSPITAL FOR CHILDREN - AMBULATORY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (VP & CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
10/23/2019
Last updated
01/02/2020
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