Organization
CHESTNUT HILL CLINIC COMPANY, LLC
Active
Other names
Sports Medicine Chestnut Hill Manayunk THMG
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-1324
Entity
Organization
Contact information
Practice address
10 SHURS LN STE 204, PHILADELPHIA, PA 19127-2123
(215) 967-1627
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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