Healthcare Provider Details

I. General information

NPI: 1881799260
Provider Name (Legal Business Name): PHILADELPHIA HEALTH & EDUCATION CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 04/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 N BROAD ST 8TH FLOOR
PHILADELPHIA PA
19107-1519
US

IV. Provider business mailing address

1500 MARKET ST 24TH FLOOR WEST TOWER
PHILADELPHIA PA
19102-2100
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-4005
  • Fax: 215-762-8572
Mailing address:
  • Phone: 215-255-3529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: MICHELE SZKOLNICKI
Title or Position: COO
Credential:
Phone: 215-255-3529