Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
61033888386
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, POBII SUITE 426, CHESTER, PA 19013-3902
(610) 872-2000
(610) 872-5724
Mailing address
2602 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7407
(610) 497-7487
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327018
PA BLUE SHIELD GROUP
PA
Enumeration date
04/02/2007
Last updated
08/22/2020
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