Organization · Type 2 NPI

Drexel University

Family Medicine Physician · Philadelphia, PA

NPI number 1356458772 Active

Practice location

3401 Market St Ste 105B
Philadelphia, PA 19104-3315

Call (215) 220-4700 Map

Mailing address

1601 Cherry St Ste 11511
Philadelphia, PA 19102-1310

Other practice locations

10 Shurs Ln, Suite 203, Philadelphia, PA 19127-2123 · (215) 482-1234

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Sports Medicine (Family Medicine) Physician	207QS0010X	None listed
Geriatric Medicine (Internal Medicine) Physician	207RG0300X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Tower Drexel Academic Medical Group LLCFamily Medicine Physician Philadelphia, PA NPI 1457995938

Other family medicine physician providers in Philadelphia

See all in Philadelphia →

NPI record

NPI: 1356458772
Entity type: Organization (Type 2)
Issued: Aug 23, 2006
Last updated: Jun 9, 2022
Status: Active

Other names

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Drexel Family Medicine · doing business as
Drexel Family Medicine · doing business as

Authorized official

Edward Waldov
Director of Revenue Cycle - Finance
(215) 255-7751

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356458772

Drexel University's National Provider Identifier is 1356458772, issued on Aug 23, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 9, 2022.