| 7703 Share/forensics | |
|
4950 Parkside Ave Floor 2 Philadelphia PA 19131 | |
| (215) 751-1800 | |
| (215) 636-6300 |
| Full Name | 7703 Share/forensics |
|---|---|
| Speciality | Case Management |
| Location | 4950 Parkside Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Adriana Torres-o'connor (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 2157511800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 7703 Share/forensics 833 Chestnut St Ste 1100 Philadelphia PA 19107-4413 Ph: (267) 235-9397 | 7703 Share/forensics 4950 Parkside Ave Floor 2 Philadelphia PA 19131 Ph: (215) 751-1800 |
| NPI Number | 1811024300 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 12/16/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811024300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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