Provider First Line Business Mailing Address:
34TH ST. & CIVIC CENTER BLVD
Provider Second Line Business Mailing Address:
THE CHILDREN'S HOSPITAL OF PHILADELPHIA, ROOM 9NW55
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19104-4399
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-590-2437
Provider Business Mailing Address Fax Number:
215-590-2768