Organization
PHILADELPHIA HOSPITAL ASSOCIATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL GRAHAM (CONTROLLER)
(215) 386-3556
Entity
Organization
Contact information
Practice address
3001 WALNUT ST, 4TH FLOOR, PHILADELPHIA, PA 19104-3414
(215) 386-3556
(267) 295-1604
Mailing address
3001 WALNUT ST, 4TH FLOOR, PHILADELPHIA, PA 19104-3414
(215) 386-3556
(267) 295-1604
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085951
AETNA US HEALTHCARE
PA
Enumeration date
03/12/2007
Last updated
08/11/2008
Update your record
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