Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Specials Needs - E. Erie Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-4681
Entity
Organization
Contact information
Practice address
160 E ERIE AVENUE, PHILADELPHIA, PA 19134-1000
Mailing address
PO BOX 13579, READING, PA 19612-3579
(610) 743-6049
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
05/11/2022
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