Organization
CHILRENS HOSPITAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIERDRA YOUNG (DIRECTOR)
(267) 426-5722
Entity
Organization
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PARC BUSINESS SERVICES, PHILADELPHIA, PA 19104
(267) 426-5722
(267) 426-6325
Mailing address
34TH & CIVIC CENTER BLVD, PARC BUSINESS SERVICES, PHILADELPHIA, PA 19104
(267) 426-5722
(267) 426-6325
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007709910078
—
PA
Enumeration date
01/12/2007
Last updated
08/22/2020
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