Organization
TPS IV OF PA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL L O'DONNELL D.O. (SURGEON)
(215) 762-4315
Entity
Organization
Contact information
Practice address
BROAD & VINE STS, PHILADELPHIA, PA 19102
(215) 762-7000
Mailing address
245 N 15TH STREET, MS 989, PHILADELPHIA, PA 19102
(215) 762-4315
(215) 762-4345
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OS010515L
PA
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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