Provider First Line Business Practice Location Address:
BROAD AND VINE STREETS
Provider Second Line Business Practice Location Address:
HAHNEMANN UNIVERSITY HOSPITAL,
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-762-1199
Provider Business Practice Location Address Fax Number:
215-762-1474
Provider Enumeration Date:
07/02/2007