Prospect Ccmc, LLC
NPI #1043674351 in Aston, Pennsylvania
Provider Information
- NPI Number
- 1043674351
- Entity Type
- Organization
- Organization Name
- Prospect Ccmc, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Jan 11, 2021
Practice Location
- Address
- 100 CROZERVILLE RD
- City
- Aston
- State
- Pennsylvania
- ZIP Code
- 19014-1444
- Phone
- (610) 447-2000
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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