Organization
PROSPECT CCMC, LLC
Active
Organization
PROSPECT CCMC, LLC
Active
Other names
Family Planning Services of Crozer
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 490-3902
(610) 490-1883
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 490-3902
(610) 490-1883
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
01/15/2021
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