Provider First Line Business Practice Location Address:
34TH ST & CIVIC CENTER BLVD ORTHOPAEDIC SURGERY DIV
Provider Second Line Business Practice Location Address:
THE CHILDRENS HOSPITAL OF PHILADELPHIA
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:
215-590-1527
Provider Business Practice Location Address Fax Number:
215-590-1501
Provider Enumeration Date:
08/22/2006