St.chris Care at Northeast Pediatrics, LLC

NPI #1043379506 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1043379506
Entity Type: Organization
Organization Name: St.chris Care at Northeast Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 8, 2006
Last Updated: Jun 26, 2014

Practice Location

Address: 9501 ROOSEVELT BLVD STE 410
City: Philadelphia
State: Pennsylvania
ZIP Code: 19114-1029
Phone: (214) 969-4917

Authorized Official

Name: MR. WESLEY O. JAMES
Title: REGIONAL CFO, TENET
Phone: (404) 265-5009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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