Individual
CULLEN EMORY WORSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 100 CENTREX, PHILADELPHIA, PA 19104
(215) 662-2725
Mailing address
9801 FRANKFORD AVE, PHILADELPHIA, PA 19114-2009
(302) 373-9461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT218308
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
10/05/2020
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