Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEIRDRA YOUNG (DIRECTOR)
(267) 426-5722
Entity
Organization
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PARC BUSINESS SERVICES, PHILADELPHIA, PA 19104
(267) 426-5722
Mailing address
34TH & CIVIC CENTER BLVD, PARC BUSINESS SERVICES, PHILADELPHIA, PA 19104
(267) 426-5722
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282NC2000X
Children's Hospital
—
—
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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