Provider First Line Business Practice Location Address:
HAHNEMANN UNIVERSITY HOSPITAL PAIN CLINIC
Provider Second Line Business Practice Location Address:
BROAD & VINE ST., 4TH FLOOR SOUTH TOWER
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-795-7375
Provider Business Practice Location Address Fax Number:
610-795-7376
Provider Enumeration Date:
08/18/2005