OrganizationActive
Occupational Industrial Health Services
NPI 1023026416 · Sports Medicine (Internal Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1023026416
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gregory Nelson, Ceo
Practice location
255 S 17th St
Suite 2001
Philadelphia, PA 19103-6231
Phone: (215) 546-7049
Fax: (215) 546-8646
Mailing address
255 S. 17th Street
Philadelphia, PA 19103
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.