Provider Demographics
NPI:1508389214
Name:GREATER DELAWARE VALLEY SOCIETY OF TRANSPLANT SURGEONS
Entity Type:Organization
Organization Name:GREATER DELAWARE VALLEY SOCIETY OF TRANSPLANT SURGEONS
Other - Org Name:GIFT OF LIFE DONOR PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STAFF ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-557-8091
Mailing Address - Street 1:401 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-4106
Mailing Address - Country:US
Mailing Address - Phone:215-557-8091
Mailing Address - Fax:215-557-0058
Practice Address - Street 1:401 N. 3RD STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123
Practice Address - Country:US
Practice Address - Phone:215-557-8091
Practice Address - Fax:215-557-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization