Clinical Care Associates Of The University Of Pennsylvania Health in Radnor - Adolescent Medicine
Clinical Care Associates Of The University Of Pennsylvania Health - NPI 1972682995
Clinical Care Associates Of The University Of Pennsylvania Health is a Adolescent Medicine in Radnor, Pennsylvania. Clinical Care Associates Of The University Of Pennsylvania Health practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Clinical Care Associates Of The University Of Pennsylvania Health is 1972682995. The last update date is 2020-11-19.
Clinical Care Associates Of The University Of Pennsylvania Health's current location address is 250 King Of Prussia Rd, Radnor, Pennsylvania. You can contact this provider via phone number 6109021720. The mailing address for Clinical Care Associates Of The University Of Pennsylvania Health is 250 King Of Prussia Rd, Radnor, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Clinical Care Associates Of The University Of Pennsylvania Health |
---|---|
Address | 250 King Of Prussia Rd, Radnor, Pennsylvania |
Phone Number | 6109021720 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ENROLLMENT |
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Authorized Official Name | Jackson L Chante |
Telephone Number | 2156626187 |
NPI Number Detail
NPI Number | 1972682995 |
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Provider Enumeration Date | 2006-11-02 |
Last Updated Date | 2020-11-19 |
Provider Mailing Address Detail
Address | 250 King Of Prussia Rd |
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City | Radnor |
State | Pennsylvania (PA) |
Post Code | 190875220 |
Phone Number | 6109021720 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
428207 | PA | BLUE SHIELD | |
1343994 | PA | BLUE SHIELD |
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What is the unique provider identifier assigned to Clinical Care Associates Of The University Of Pennsylvania Health?
The Clinical Care Associates Of The University Of Pennsylvania Health has been issued the NPI (National Provider Identifier) 1972682995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Clinical Care Associates Of The University Of Pennsylvania Health located?
The Clinical Care Associates Of The University Of Pennsylvania Health is located at 250 King Of Prussia Rd, Radnor, PA 190875220.
What is Clinical Care Associates Of The University Of Pennsylvania Health's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clinical Care Associates Of The University Of Pennsylvania Health is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972682995 to Clinical Care Associates Of The University Of Pennsylvania Health?
The Centers for Medicare & Medicaid Services originally issued the 1972682995 to Clinical Care Associates Of The University Of Pennsylvania Health on 2006-11-02.
As of what date were the Clinical Care Associates Of The University Of Pennsylvania Health's details last updated?
The information pertaining to the Clinical Care Associates Of The University Of Pennsylvania Health, including its address, specialty, and other details, was most recently updated on 2020-11-19.
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