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
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