Individual provider · Type 1 NPI

Pauline Blaise Roxas, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1558064204 Active

Practice location

25 S 9th St Fl 1
Philadelphia, PA 19107-4408

Call (215) 606-4888 Map

Fax (215) 923-6808

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XW2775 (TX)
Spinal Cord Injury Medicine Physician 2081P0004XMT237069 (PA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558064204

Pauline Blaise Roxas, MD's National Provider Identifier is 1558064204, issued on Mar 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 2, 2026.