DREXEL UNIVERSITY NPI 1356458772

NPI Information

  • NPI: 1356458772
  • Provider Name: DREXEL UNIVERSITY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DREXEL FAMILY MEDICINE
  • CLIA Number: 39D2321470
  • Address: 3401 MARKET ST STE 105B
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 220-4700

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NPI Details

DREXEL UNIVERSITY is a family medicine in Philadelphia, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DREXEL UNIVERSITY NPI is 1356458772. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Drexel Family Medicine.

The provider's business location address is:

3401 MARKET ST STE 105B
PHILADELPHIA, PA
ZIP 19104-315
Phone: (215) 220-4700

The provider's authorized official is Edward Waldov .
The authorized official title is Director Of Revenue Cycle - Finance and has the following contact phone number (215) 255-7751.

The CLIA number assigned to this NPI record is 39D2321470 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QS0010XFamily MedicineSports MedicineNo
2207RG0300XInternal MedicineGeriatric MedicineNo
3207Q00000XFamily MedicinePENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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