Provider First Line Business Practice Location Address:
ST CHRISTOPHER'S HOSPITAL FOR CHILDREN
Provider Second Line Business Practice Location Address:
ERIE AVE AT FRONT STREET IMMUNOLOGY 3RD FLOOR
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-427-4324
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007