Organization
CHILDREN'S HEALTH CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CORBO (FINANCE OFFICER)
(215) 567-2422
Entity
Organization
Contact information
Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
(215) 590-1000
(215) 977-8864
Mailing address
100 N 20TH ST STE 301, CHCA, PHILADELPHIA, PA 19103-1454
(215) 567-2422
(215) 561-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000188502
—
DE
05
—
0006558520003
—
PA
05
—
01156798
—
NY
05
—
3316602
—
NJ
Enumeration date
10/04/2006
Last updated
08/04/2011
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