Healthcare Provider Details

I. General information

NPI: 1356496038
Provider Name (Legal Business Name): PHILADELPHIA HEALTH & EDUCATION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 NORTH BROAD ST 15TH FLOOR SOUTH TOWER
PHILADELPHIA PA
19102
US

IV. Provider business mailing address

1601 CHERRY ST SUITE 11511
PHILA PA
19102-1321
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-2640
  • Fax:
Mailing address:
  • Phone: 215-255-7822
  • Fax: 215-255-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: LOU MEINDEL
Title or Position: SR. EXECUTIVE DIRECTOR OF FINANCE
Credential:
Phone: 215-255-7822