Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Cardiothoracic Surgery-N. Broad
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CONNER (VP & CFO)
(484) 628-0797
Entity
Organization
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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