Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, GROUND FLOOR, CHESTER, PA 19013-3902
(610) 619-7410
(610) 490-0925
Mailing address
1 MEDICAL CENTER BLVD, GROUND FLOOR, CHESTER, PA 19013-3902
(610) 619-7410
(610) 490-0925
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Enumeration date
05/16/2016
Last updated
01/15/2021
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