Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESDIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
2100 KEYSTONE AVE, DREXEL HILL, PA 19026-1129
(610) 622-8200
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1678220
PA BLUE SHIELD GROUP
PA
Enumeration date
03/28/2007
Last updated
10/23/2007
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