Organization
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH
Active
Organization
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE L JACKSON (PAYER SUPERVISOR)
(215) 662-6187
Entity
Organization
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5000
Mailing address
301 S 7TH AVE, WEST READING, PA 19611-1410
(215) 662-6200
(215) 615-1298
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/21/2021
Last updated
09/23/2021
Update your record
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