Provider Demographics
NPI:1194769786
Name:ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Entity type:Organization
Organization Name:ST. CHRISTOPHER'S PEDIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF NEONATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HARBHAJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-762-6516
Mailing Address - Street 1:230 N BROAD ST
Mailing Address - Street 2:MS492, RM. #1034, SO. TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1121
Mailing Address - Country:US
Mailing Address - Phone:215-762-6516
Mailing Address - Fax:215-762-7139
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:MS492, RM. #1034, SO. TOWER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-6516
Practice Address - Fax:215-762-7139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032039L282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren