Provider First Line Business Practice Location Address:
440 NORTH BROAD STREET
Provider Second Line Business Practice Location Address:
STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
10130-4015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-400-5704
Provider Business Practice Location Address Fax Number:
215-400-4173
Provider Enumeration Date:
04/10/2018