Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Other names
CHOP Adolescent Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TODOROW (VP FINANCE)
(267) 426-6940
Entity
Organization
Contact information
Practice address
3550 MARKET STREET, 4TH FLOOR, PHILADELPHIA, PA 19104
(215) 590-3537
(215) 590-1493
Mailing address
301 LINDENWOOD DRIVE, SUITE 350, MALVERN, PA 19355
(215) 590-2897
(215) 590-0325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
PA
208000000X
Pediatrics Physician
—
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007709910086
—
PA
Enumeration date
10/19/2006
Last updated
06/16/2009
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