Provider First Line Business Practice Location Address:
800 SPRUCE ST
Provider Second Line Business Practice Location Address:
PENNSYLVANIA HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107-6130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-829-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2014