Organization
AMC WOMACK-FT BRAGG
Active
Parent organization
AMC WOMACK-FT BRAGG
Other names
BRAGG CLARK HC PHCY
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMC WOMACK-FT BRAGG
Authorized official
HECTOR MORALES (CHIEF DHA PASS)
(210) 536-6650
Entity
Organization
Contact information
Practice address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3563
(215) 247-1172
Mailing address
7700 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3563
(215) 247-1172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD489737
MEDICALLICENSE
PA
Enumeration date
09/20/2006
Last updated
11/07/2025
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