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Contact Information

ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
FRONT STREET AT ERIE AVE.
SUITE 2205
PHILADELPHIA, PA19134
 Phone: 215-427-8915
 Fax: 215-427-4603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES

NPI Number 1811945538
LBN Legal business name ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Authorized official TRACEY PAGE - (PROGRAM COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/05/2006
Last updated 12/20/2007 - About 18 years ago
Identifiers
PA License # MD021329E
PA Medicaid 0078325302
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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