| Crozer-chester Medical Center | |
|
710 S Middletown Road Media PA 19063-5024 | |
| (610) 447-2000 | |
| (610) 447-6620 |
| Full Name | Crozer-chester Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 710 S Middletown Road, Media, Pennsylvania |
| Authorized Official Name and Position | Patrick Gavin (COO) |
| Authorized Official Contact | 6103388228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crozer-chester Medical Center 1 Medical Center Boulevard Upland PA 19013-3902 Ph: (610) 447-2000 | Crozer-chester Medical Center 710 S Middletown Road Media PA 19063-5024 Ph: (610) 447-2000 |
| NPI Number | 1306982103 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306982103 | NPI | - | NPPES |
| 10076058328 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 037201 (Pennsylvania) | Primary |
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