Organization
CHOP CLINICAL ASSOCIATES, PC
Active
Parent organization
CHOP CLINICAL ASSOCIATES, INC
Other names
Care Network Gibbsboro
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOP CLINICAL ASSOCIATES, INC
Authorized official
FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization
Contact information
Practice address
13 LAKEVIEW DRIVE, GIBBSBORO, NJ 08026-1155
(856) 783-2802
(856) 783-2806
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331163
—
NJ
Enumeration date
03/12/2012
Last updated
01/22/2025
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