Organization
DREXEL UNIVERSITY
Active
Other names
Drexel Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WALDOV (DIRECTOR OF REVENUE CYCLE - FINANCE)
(215) 255-7751
Entity
Organization
Contact information
Practice address
3401 MARKET ST STE 105B, PHILADELPHIA, PA 19104-3315
(215) 220-4700
Mailing address
1601 CHERRY ST STE 11511, PHILADELPHIA, PA 19102-1310
(215) 255-7751
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
08/23/2006
Last updated
06/09/2022
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