Prospect Ccmc, LLC
NPI #1154785848 in Chester, Pennsylvania
Provider Information
- NPI Number
- 1154785848
- Entity Type
- Organization
- Organization Name
- Prospect Ccmc, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 8, 2016
- Last Updated
- Jan 11, 2021
Practice Location
- Address
- 1 MEDICAL CENTER BLVD
- City
- Chester
- State
- Pennsylvania
- ZIP Code
- 19013-3902
- Phone
- (610) 447-2000
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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