Healthcare Provider Details

I. General information

NPI: 1093925893
Provider Name (Legal Business Name): HEALTH ACCESS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CHESTER PIKE
RIDLEY PARK PA
19078-1703
US

IV. Provider business mailing address

2602 W 9TH ST
CHESTER PA
19013-2040
US

V. Phone/Fax

Practice location:
  • Phone: 610-521-4311
  • Fax: 610-521-5995
Mailing address:
  • Phone: 610-497-7407
  • Fax: 610-497-7487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BRAD PRECHTL
Title or Position: PRESIDENT
Credential:
Phone: 610-338-8386