Organization
GPHA MIDWIFERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIXZA SANTA (MANAGED CARE COORDINATOR)
(215) 925-2400
Entity
Organization
Contact information
Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 744-1302
(215) 744-2544
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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