| Chop Clinical Associates | |
|
34th & Civic Center Blvd. Parc Business Office Philadelphia PA 19104 | |
| (267) 426-5722 | |
| (267) 426-6325 |
| Full Name | Chop Clinical Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 34th & Civic Center Blvd., Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dierdra Young (DIRECTOR, BUSINESS OFFICE) |
| Authorized Official Contact | 2674265722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chop Clinical Associates 34th & Civic Center Blvd. Parc Business Office Philadelphia PA 19104 Ph: (267) 426-5722 | Chop Clinical Associates 34th & Civic Center Blvd. Parc Business Office Philadelphia PA 19104 Ph: (267) 426-5722 |
| NPI Number | 1336253046 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336253046 | NPI | - | NPPES |
| 0001426 | Other | PA | AETNA/US HEALTHCARE |
| 23-1352166-081 | Other | PA | PRUDENTIAL HEALTH CARE |
| 4204301 | Medicaid | PA | |
| 60008 | Medicaid | PA | |
| 393303 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 0001166000 | Other | PA | IBC |
| 393303 | Other | PA | HORIZON BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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