Organization · Type 2 NPI
Evernorth Care Providers - Delaware PA
General Practice Physician · Philadelphia, PA
NPI number
1457138182
Active
Practice location
100 N 18th Street, Suite 300
Philadelphia, PA 19103
Fax (312) 564-4059
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1457138182
Evernorth Care Providers - Delaware PA's National Provider Identifier is 1457138182, issued on Sep 14, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 14, 2025.