Provider First Line Business Practice Location Address:
CHOP, 34TH STREET AND CIVIC CENTER BLVD.
Provider Second Line Business Practice Location Address:
TRAUMA PROGRAM, ROOM 1020
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104-4399
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-590-4872
Provider Business Practice Location Address Fax Number:
215-590-4754
Provider Enumeration Date:
07/04/2006