Prospect Ccmc, LLC

NPI #1366806663 in Chester, Pennsylvania

Provider Information

NPI Number: 1366806663
Entity Type: Organization
Organization Name: Prospect Ccmc, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Apr 12, 2016
Last Updated: Jan 15, 2021

Practice Location

Address: 245 BETHEL RD
City: Chester
State: Pennsylvania
ZIP Code: 19014
Phone: (610) 619-8700

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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