Provider Demographics
NPI:1528279346
Name:FRANKFORD TORRESDALE HOSPITAL
Entity type:Organization
Organization Name:FRANKFORD TORRESDALE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MISS
Authorized Official - First Name:AN
Authorized Official - Middle Name:THU
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:267-272-7747
Mailing Address - Street 1:516 WALLACE AVE
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7239
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:516 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7239
Practice Address - Country:US
Practice Address - Phone:267-242-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052313282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital