Provider First Line Business Practice Location Address:
100 EAST LEHIGH AVE.
Provider Second Line Business Practice Location Address:
ESPISCOPAL HOSPITAL
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-707-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2011