Organization
DREXEL UNIVERSITY
Active
Other names
Drexel ID Partnership Clinic PCP, Drexel ID Partnership Clinic
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
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
06/09/2022
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