Provider First Line Business Practice Location Address:
THE CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIAC DEPT
Provider Second Line Business Practice Location Address:
34TH STREET & CIVIC CENTER BOULEVARD
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-4399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-939-1473
Provider Business Practice Location Address Fax Number:
215-590-5415
Provider Enumeration Date:
04/30/2009