Organization
PHMC IMMUNIZATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TINDALL (CREDENTIALING)
(215) 985-2523
Entity
Organization
Contact information
Practice address
1430 CHERRY ST, PHILDELPHIA, PA 19102-1526
(215) 686-7150
(215) 569-1532
Mailing address
260 S BROAD ST, 18TH FL ATTN: B TINDALL, PHILADELPHIA, PA 19102-5021
(215) 985-2523
(215) 731-2049
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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