PROVIDENCE PEDIATRIC PRACTICE LLC

MEDIA, PA
NPI1932160629
Entity TypeOrganization
Authorized ContactJACQUELYN H GIBBONS
Physician Senior Partner
610-565-1945
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-03-31
Last Update Date2009-03-18
Business Address
PROVIDENCE PEDIATRIC PRACTICE LLC
100 GRANITE DR SUITE 200
MEDIA, PA 19063-5134
Phone number: 610-565-1945
Mailing Address
PROVIDENCE PEDIATRIC PRACTICE LLC
100 GRANITE DR SUITE 200
MEDIA, PA 19063-5134
Phone number: 610-565-1945
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