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Organization

CHILDREN'S HOSPITAL OF PHILADELPHIA

Active
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Organization

CHILDREN'S HOSPITAL OF PHILADELPHIA

Active
Other names
Flourtown Healthy Weight
Organization subpart
No

Provider details

NPI number
Authorized official
GALENA HALL (CRS)
(215) 590-2897
Entity
Organization

Contact information

Practice address
821 BETHLEHEM PIKE, ERDENHEIM, PA 19038-8121
(215) 836-1700
(215) 836-2705
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
07/10/2019
Last updated
07/12/2022
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