Provider First Line Business Practice Location Address:
325 N 15TH ST
Provider Second Line Business Practice Location Address:
HAHNEMANN UNIVERSITY HOSPITAL, DEPT OF EMER MED
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19102-1030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-850-2550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/02/2007