NPI 1043379506

St.Chris Care at Northeast Pediatrics, LLC

Organisation Pediatrics Physician Philadelphia, PA

Practice location

Address: 9501 Roosevelt Blvd STE 410, Philadelphia, PA 19114-1029
Phone: (214) 969-4917
Fax: (215) 969-5875
Mailing address: PO Box 822502, Philadelphia, PA 19182-1029

Authorised official

Name: Wesley O. James
Title: Regional Cfo, Tenet
Phone: (404) 265-5009

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Pennsylvania →

Registry record

NPI: 1043379506
Entity type: Organization
NPI issued: 8 Dec 2006
Record last updated: 26 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.