Healthcare Provider Details

I. General information

NPI: 1376455873
Provider Name (Legal Business Name): SYDNEY RICE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE
WYNNEWOOD PA
19096-3450
US

IV. Provider business mailing address

503 S 9TH ST
PHILADELPHIA PA
19147-1331
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-2000
  • Fax:
Mailing address:
  • Phone: 717-216-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1247417
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: