Prospect Ccmc, LLC

NPI #1255788246 in Chester, Pennsylvania

Provider Information

NPI Number: 1255788246
Entity Type: Organization
Organization Name: Prospect Ccmc, LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 19, 2016
Last Updated: Jan 15, 2021

Practice Location

Address: 301 W 15TH ST
City: Chester
State: Pennsylvania
ZIP Code: 19013-5300
Phone: (610) 619-8600

Authorized Official

Name: ROBERT JON ELDERS
Title: SECRETARY
Phone: (714) 788-1249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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