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NPI Code Detail

MEDICARE: CHOP CLINICAL ASSOCIATES, INC

MEDICARE: CHOP CLINICAL ASSOCIATES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianNJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891870432
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOP CLINICAL ASSOCIATES, INC
Provider Business Mailing Address
First Line : 3401 CIVIC CENTER BLVD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4319
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 MARTER AVE
Second Line : SUITE 100
City : MOORESTOWN
State : NJ
Zip : 08057-3114
Country : US
Telephone Number : 856-235-2147
Fax Number : 856-235-6905
Authorized Official
Title or Position : VP REVENUE CYCLE
Name : FABIAN STONE
Credential :
Telephone Number : 267-425-5765
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/22/2025

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Directions to “CHOP CLINICAL ASSOCIATES, INC ” Practice Location

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