Organization
CHRISTIANA CARE HEALTH SERVICES INC
Active
Parent organization
CHRISTIANA CARE HEALTH SERVICES INC
Other names
Christiana Care Cardiology of Southern Chester County
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIANA CARE HEALTH SERVICES INC
Authorized official
J. DAVID CHARLES (DIRECTOR OF FINANCE)
(302) 623-7165
Entity
Organization
Contact information
Practice address
1011 W BALTIMORE PIKE, SUITE 304, WEST GROVE, PA 19390
(610) 869-1278
(610) 869-3736
Mailing address
200 HYGEIA DRIVE SUITE 2502, PHYSICIAN CONTRACTING-CHRISTIANA CARE HEALTH SERVICES, WILMINGTON, DE 19713-2049
(302) 623-7362
(302) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS008088L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007565080049
—
PA
Enumeration date
05/01/2008
Last updated
04/20/2009
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