Organization
GALAEI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS M MORALES MITTI BA (MEDICAL CASE MANAGER)
(215) 851-1853
Entity
Organization
Contact information
Practice address
1207 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4101
(215) 581-1822
(215) 851-1775
Mailing address
1207 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4101
(215) 581-1822
(215) 851-1775
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101708256
—
PA
Enumeration date
08/13/2009
Last updated
08/13/2009
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