Organization
HAHNEMANN UNIVERSITY HOSPITAL
Active
Other names
Tenet
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CHAMBLISS M.D (PROGRAM DIRECTOR)
(215) 831-4041
Entity
Organization
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 908-2644
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 908-2644
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MT196624
PA
273R00000X
Psychiatric Hospital Unit
MT196624
PA
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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