OrganizationActive
Gaudenzia Drc Inc
NPI 1043434608 · Clinic/Center · Philadelphia, PA
Provider details
- NPI number
- 1043434608
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Moyle, Dir. Fiscal & Corporate Operastions(610) 239-9600
- License
- 807384 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Henry Ave
Philadelphia, PA 19129-1137
Phone: (215) 991-9700
Fax: (215) 991-9796
Street-level locationGet directions
Mailing address
106 W Main St
Norristown, PA 19401-4716
Other names (DBA / former)
- Other name
- Gaudenzia Drc Outpatient
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.