Organization
INDUSTRIAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE C SCHADE RN (CLINICAL COORDINATOR)
(215) 707-0485
Entity
Organization
Contact information
Practice address
100 E LEHIGH AVE, MAB SUITE L06, PHILADELPHIA, PA 19125-1012
(215) 707-0485
(215) 707-0498
Mailing address
100 E LEHIGH AVE, MAB SUITE L06, PHILADELPHIA, PA 19125-1012
(215) 707-0485
(215) 707-0498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0337703000
HMO ID
PA
Enumeration date
12/08/2006
Last updated
08/22/2020
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