Individual provider · Type 1 NPI

Sophie Gentle, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1417617531 Active

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Call (215) 612-4000 Map

Mailing address

1702 Waverly St
Philadelphia, PA 19146-1531

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1417617531

Sophie Gentle, PA-C's National Provider Identifier is 1417617531, issued on Dec 30, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 3, 2026.