Organization
HENRY AVENUE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE T HOLMES (PRACTICE MANAGER)
(215) 707-1059
Entity
Organization
Contact information
Practice address
8500 HENRY AVE, PHILADELPHIA, PA 19128-2111
(215) 483-8865
(215) 483-8915
Mailing address
8500 HENRY AVE, PHILADELPHIA, PA 19128-2111
(215) 483-8865
(215) 483-8915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
12/13/2010
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