Organization
THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA
Active
Other names
PAMCOP
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HUFFMAN-DEVAUGHN MD (PHYSICIAN CEO)
(215) 848-9000
Entity
Organization
Contact information
Practice address
105 W SCHOOLHOUSE LANE, PHILADELPHIA, PA 19144
(215) 848-9000
(215) 848-7894
Mailing address
105 W SCHOOLHOUSE LANE, PHILADELPHIA, PA 19144
(215) 848-9000
(215) 848-7894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD032197E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01273236
—
PA
Enumeration date
09/01/2006
Last updated
11/03/2015
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