Provider Demographics
NPI:1275585762
Name:CHILDREN HEALTHCARE
Entity Type:Organization
Organization Name:CHILDREN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:TOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-395-4444
Mailing Address - Street 1:3410 STURBRUDGE PLACE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2253
Mailing Address - Country:US
Mailing Address - Phone:610-395-8703
Mailing Address - Fax:
Practice Address - Street 1:15 17 POND ROAD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104
Practice Address - Country:US
Practice Address - Phone:610-366-7673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004497L2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty