Organization
DREXEL UNIVERSITY
Active
Other names
Drexel CT 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
230 N BROAD ST, SUITE 744, PHILADELPHIA, PA 19102-1121
(215) 762-7802
(215) 762-1858
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
PA
Other
Enumeration date
09/11/2006
Last updated
05/29/2014
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