Organization
ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY PAGE (PROGRAM COORDINATOR)
(215) 427-3725
Entity
Organization
Contact information
Practice address
FRONT STREET AT ERIE AVE., SUITE 2205, PHILADELPHIA, PA 19134
(215) 427-8915
(215) 427-4603
Mailing address
FRONT STREET AT ERIE AVENUE, SUITE 2205, PHILADELPHIA, PA 19134
(215) 427-8915
(215) 427-4603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD021329E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078325302
—
PA
Enumeration date
05/05/2006
Last updated
12/20/2007
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