Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
283XC2000X |
| NPI # | 1679573083 |
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| LBN Legal business name | BLYTHEDALE CHILDREN'S HOSPITAL | ||||
| Authorized official | LISA-MARIE COPPOLINO - (DIRECTOR, PATIENT ACCOUNTS) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/28/2005 | ||||
| Last updated | 10/07/2024 - More than a year ago | ||||
| Identifiers |
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