Provider First Line Business Practice Location Address:
1840 SOUTH STREET LOWER LEVEL
Provider Second Line Business Practice Location Address:
PENN MEDICINE AT RITTENHOUSE
Provider Business Practice Location Address City Name:
PHILA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19146-8405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-732-0200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2007