CITY OF PHILADELPHIA

NPI # 

Practice Address:

131 E Chelten Ave

Philadelphia, PA, 19144-2153

Practice Phone:

215-685-5745

Practice Fax:

215-685-6848

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X