Organization · Type 2 NPI

Children's Hospital of Philadelphia

Pediatrics Physician · Philadelphia, PA

NPI number 1629168232 Active

Practice location

1700 S Broad St. Ste 301
Philadelphia, PA 19145-2340

Call (215) 467-5870 Map

Fax (215) 467-5873

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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NPI record

NPI: 1629168232
Entity type: Organization (Type 2)
Issued: Oct 13, 2006
Last updated: Jan 22, 2025
Status: Active
Subpart: Yes of Children's Hospital of Philadelphia

Other names

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Care Network South Philadelphia · doing business as
Care Network South Philadelphia · doing business as

Authorized official

Fabian Stone
VP Revenue Cycle
(267) 425-5765

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629168232

Children's Hospital of Philadelphia's National Provider Identifier is 1629168232, issued on Oct 13, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 22, 2025.