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Organization

SIDNEY HILLMAN MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHANNA HERNANDEZ (OFFICE MANAGER)
(215) 568-4080
Entity
Organization

Contact information

Practice address
2116 CHESTNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19103-4401
(215) 568-4080
(215) 568-4088
Mailing address
2116 CHESTNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19103-4401
(215) 568-4080
(215) 568-4088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207X00000X
Orthopaedic Surgery Physician
208800000X
Urology Physician
213E00000X
Podiatrist

Other

Enumeration date
07/19/2006
Last updated
04/03/2008
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