Organization
MEDICAL ASSOCIATES OF DREXEL HILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HOFFMAN (BUSINESS ADMINISTRATOR)
(267) 736-4850
Entity
Organization
Contact information
Practice address
510 WEST DARBY ROAD, 2ND FLOOR, HAVERTOWN, PA 19083
(610) 789-6320
(610) 789-6325
Mailing address
100 W SPROUL RD STE 224, SPRINGFIELD, PA 19064-2033
(610) 789-6320
(484) 471-3917
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007156920001
—
PA
01
—
0031212000
INDEPENDENCE BLUE CROSS
PA
01
—
004842
AETNA
PA
01
—
02191
HEALTH PARTNERS
PA
01
—
039509
HIGHMARK BLUE SHIELD
PA
01
—
30926
KEYSTONE MERCY
PA
Enumeration date
05/17/2006
Last updated
04/11/2018
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