| Drexel Id Partnership Clinic Spec | |
|
1427 Vine St 2nd Floor Philadelphia PA 19102-1031 | |
| (215) 762-2530 | |
| (215) 762-2531 |
| Full Name | Drexel Id Partnership Clinic Spec |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1427 Vine St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Edward E Waldov (DIRECTOR OF REVENUE CYCLE - FINANCE) |
| Authorized Official Contact | 2152557751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel Id Partnership Clinic Spec 1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 Ph: (215) 255-7751 | Drexel Id Partnership Clinic Spec 1427 Vine St 2nd Floor Philadelphia PA 19102-1031 Ph: (215) 762-2530 |
| NPI Number | 1154590933 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154590933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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