Organization
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE L JACKSON (PAYER SUPERVISOR)
(215) 662-6187
Entity
Organization
Contact information
Practice address
701 E MARSHALL ST # 141, WEST CHESTER, PA 19380-4412
(215) 662-4000
Mailing address
701 E MARSHALL ST # 141, WEST CHESTER, PA 19380-4412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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