IndividualActive
Edward Re, MD
NPI 1144675828 · Pediatric Sports Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1144675828
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MT210381 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Division of Sports Medicine
Philadelphia, PA 19104-4319
Phone: (718) 598-0278
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Walnut St
Philadelphia, PA 19103-5635
Registry dates
- Enumerated
- 2016-04-29
- Last updated
- 2021-06-29
- Certified
- 2021-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.