Provider First Line Business Practice Location Address:
111 S 11TH ST STE 8490G
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ANESTHESIOLOGY -TJUH
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-955-6161
Provider Business Practice Location Address Fax Number:
215-923-5507
Provider Enumeration Date:
03/31/2007