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Organization

DREXEL UNIVERSITY

Active
Other names
Drexel ID Partnership Clinic SPEC
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD E WALDOV (DIRECTOR OF REVENUE CYCLE - FINANCE)
(215) 255-7751
Entity
Organization

Contact information

Practice address
1427 VINE ST, 2ND FLOOR, PHILADELPHIA, PA 19102-1031
(215) 762-2530
(215) 762-2531
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7751
(215) 255-7825

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
02/26/2008
Last updated
06/09/2022
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