Healthcare Provider Details

I. General information

NPI: 1881711166
Provider Name (Legal Business Name): CROZER CHESTER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD POB 1 SUITE 407
CHESTER PA
19013-3902
US

IV. Provider business mailing address

1 MEDICAL CENTER BLVD POB 1 SUITE 407
CHESTER PA
19013-3902
US

V. Phone/Fax

Practice location:
  • Phone: 610-874-5257
  • Fax: 610-874-7241
Mailing address:
  • Phone: 610-874-5257
  • Fax: 610-874-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberMD059842L
License Number StatePA

VIII. Authorized Official

Name: DR. ERLINDA ASA SABILI
Title or Position: DIRECTOR-PSYCHOSOMATIC MEDICINE
Credential: M.D.
Phone: 610-874-5257