Organization
THE WEDGE MEDICAL CENTER, P.C.
Active
Parent organization
THE WEDGE MEDICAL CENTER, INC
Other names
Wedge Recovery Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WEDGE MEDICAL CENTER, INC
Authorized official
TAKISA S GALLMAN (VP ADMINISTRATIVE SERVICES)
(215) 276-3922
Entity
Organization
Contact information
Practice address
5520 CHESTER AVE, PHILADELPHIA, PA 19143-5328
(215) 276-3922
Mailing address
6711 OLD YORK RD, PHILADELPHIA, PA 19126-2841
(215) 276-3922
(215) 276-1249
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728192
—
PA
Enumeration date
12/05/2022
Last updated
12/05/2022
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