Organization · Type 2 NPI

The Wedge Medical Center, P.c.

Professional Counselor · Philadelphia, PA

NPI number 1053538447 Active

Practice location

3609 N Broad St
Philadelphia, PA 19140-4107

Call (215) 223-1100 Map

Fax (215) 223-1200

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X807376 (PA)
Professional Counselor Primary 101YP2500X807376 (PA)

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About NPI 1053538447

The Wedge Medical Center, P.c.'s National Provider Identifier is 1053538447, issued on Apr 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 11, 2025.