Organization
HATBORO PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER B COREN D.O. (PRESIDENT)
(215) 441-5670
Entity
Organization
Contact information
Practice address
483 E COUNTY LINE RD, HATBORO, PA 19040-1204
(215) 441-5670
(215) 441-5661
Mailing address
483 E COUNTY LINE RD, HATBORO, PA 19040-1204
(215) 441-5670
(215) 441-5661
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS013183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017137480001
—
PA
Enumeration date
06/07/2011
Last updated
11/10/2011
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