Organization
ROOSEVELT EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS (OWNER)
(215) 442-5000
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-9000
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MA054271
PA
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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