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CHILDREN'S HOSPITAL OF PHILADELPHIA NPI 1639259583


NPI Information

NPI: 1639259583
Provider Name: CHILDREN'S HOSPITAL OF PHILADELPHIA

Doing Business As: CHOP PRIMARY CARE WEST CHESTER

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D0203452

Address:
770 MILES ROAD
SUITE 1
WEST CHESTER, PA
ZIP 19380
Phone: (610) 429-1100
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CHILDREN'S HOSPITAL OF PHILADELPHIA is a pediatrics in West Chester, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDREN'S HOSPITAL OF PHILADELPHIA NPI is 1639259583. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chop Primary Care West Chester.

The provider's business location address is:

770 MILES ROAD
SUITE 1
WEST CHESTER, PA
ZIP 19380-400
Phone: (610) 429-1100
Fax: (610) 429-4848

The provider's authorized official is Thomas Todorow .
The authorized official title is Vp Finance and has the following contact phone number (267) 426-6940.

The CLIA number assigned to this NPI record is 39D0203452 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007709910030MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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