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Drexel University

Obstetrics & Gynecology, Maternal & Fetal Medicine in Philadelphia, PA. Organization (NPI-2).

NPI number1629005152
StatusActive
Last updated in NPPESMay 27, 2014

Details

NPI
1629005152
Entity type
Organization (NPI-2)
Legal business name
Drexel University
Organization subpart
No
Enumeration date
Jun 28, 2006
Last updated
May 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine––Yes

Other names

  • Drexel Obgyn Center For Genetics & Fetal Medicine (Doing Business As)

Practice location

216 N Broad St
4th Floor
Philadelphia, PA 19102-1121

Phone 215-762-4000 · Fax 215-762-4323

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321

Phone 215-255-7822 · Fax 215-255-7825

Authorized official

Dave Janiec
Director Of Payer Contracting
2152557766

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