| Drexel Infectious Disease | |
|
219 N Broad St 5th Floor Philadelphia PA 19107-1519 | |
| (215) 762-6555 | |
| (215) 762-3031 |
| Full Name | Drexel Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 219 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | David Janiec (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Contact | 2152557766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel Infectious Disease 1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 Ph: (215) 255-7822 | Drexel Infectious Disease 219 N Broad St 5th Floor Philadelphia PA 19107-1519 Ph: (215) 762-6555 |
| NPI Number | 1013012475 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013012475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Pennsylvania) | Primary |
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