Drexel University

Specialty details in registry · Philadelphia, PA

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At a glance

219 N Broad St, Philadelphia, PA 19107-1519

NPPES record updated May 27, 2014. Public records can lag behind changes at a practice.

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Practice location

219 N Broad St 5Th Floor
Philadelphia, PA 19107-1519

Professional details: NPI, taxonomy & registry record

NPI1790889103

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207RG0100X
Enumeration date: Sep 8, 2006
Record updated: May 27, 2014

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

207RG0100X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

219 N Broad St
5Th Floor
Philadelphia, PA 19107-1519

Phone: (215) 762-6220
Fax: (215) 762-5034

Mailing address

1601 CHERRY ST
SUITE 11511
PHILADELPHIA, PA 191021321

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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