Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
1401 MARLTON PIKE E, CHERRY HILL, NJ 08034-2207
(856) 354-9373
(856) 354-5156
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658180
PA BLUE SHIELD GROUP
PA
Enumeration date
03/30/2007
Last updated
10/23/2007
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