NPI 1306090592

Transition Phase III

Organisation Health Maintenance Organization Philadelphia, PA

Practice location

Address: 3900 City Ave Madison Building, Suite 1207, Philadelphia, PA 19131-2908
Phone: (215) 878-3052

Authorised official

Name: Jo Benoit
Title: Ceo
Phone: (215) 878-2052

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Pennsylvania →

Registry record

NPI: 1306090592
Entity type: Organization
NPI issued: 14 Nov 2008
Record last updated: 14 Nov 2008

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.