Provider First Line Business Practice Location Address:
BROAD & VINE ST.
Provider Second Line Business Practice Location Address:
HAHNEMANN UNIVERISTY 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:
215-831-4041
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2013