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NPI Code Detail

MEDICARE: DREXEL UNIVERSITY

MEDICARE: DREXEL UNIVERSITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) PhysicianPA

General Provider Information

NPI Number : 1689842072
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREXEL UNIVERSITY
Provider Business Mailing Address
First Line : 1601 CHERRY ST
Second Line : SUITE 11511
City : PHILADELPHIA
State : PA
Zip : 19102-1321
Country : US
Telephone Number : 215-255-7822
Fax Number : 215-255-7825
Provider Business Practice Location Address
First Line : 10 SHURS LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19127-2123
Country : US
Telephone Number : 215-482-1234
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PAYER CONTRACTING
Name : DAVID JANIEC
Credential :
Telephone Number : 215-255-7766
Provider Enumeration Date : 02/19/2008
Last Update Date : 07/09/2014

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1376589168 — STEVEN L ZINN MD
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1336366467 — DR. BARRY BRENT SIMMONS JR. M.D.
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1578725339 — DR. JULIE WANG MD
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Directions to “DREXEL UNIVERSITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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