Provider First Line Business Practice Location Address:
EBS CHILDREN'S INSTITUTE OF PHILADELPHIA
Provider Second Line Business Practice Location Address:
1500 S. CHRISTOPHER COLUMBUS BLVD., FLOOR 2
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-918-9310
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2020