Healthcare Provider Details

I. General information

NPI: 1437283256
Provider Name (Legal Business Name): PLANNED PARENTHOOD SOUTHEASTERN PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1144 LOCUST ST
PHILADELPHIA PA
19107-6734
US

IV. Provider business mailing address

1144 LOCUST ST
PHILADELPHIA PA
19107-6734
US

V. Phone/Fax

Practice location:
  • Phone: 215-351-5500
  • Fax: 215-351-5595
Mailing address:
  • Phone: 215-351-5500
  • Fax: 215-351-5595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: VERA BAILEY
Title or Position: CFO
Credential:
Phone: 215-351-5500