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Contact Information

THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA
105 W SCHOOLHOUSE LANE
PHILADELPHIA, PA19144
 Phone: 215-848-9000
 Fax: 215-848-7894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA

NPI Number 1356443543
LBN Legal business name THE PEDIATRIC & ADOLESCENT MEDICINE CENTERS OF PHILADELPHIA
Authorized official PAMELA HUFFMAN-DEVAUGHN - (PHYSICIAN CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 11/03/2015 - About 11 years ago
Identifiers
PA License # MD032197E
PA Medicaid 01273236
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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