Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Other names
West Chester Healthy Weight
Organization subpart
No
Provider details
NPI number
Authorized official
GALENA MOWDAY (CREDENTIALING SPECIALIST)
(215) 590-2897
Entity
Organization
Contact information
Practice address
770 MILES RD STE 1, WEST CHESTER, PA 19380-1950
(610) 429-1100
(610) 429-4848
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
10/09/2020
Last updated
07/12/2022
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