Organization
DREXEL UNIVERSITY
Active
Other names
Drexel Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JANIEC (DIRECTOR OF PAYER CONTRACTING)
(215) 255-7766
Entity
Organization
Contact information
Practice address
219 N BROAD ST, 8TH FLOOR, PHILADELPHIA, PA 19107-1519
(215) 762-1545
(215) 563-5514
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
PA
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
09/13/2006
Last updated
05/27/2014
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