IndividualActive
Mark Desmond, M.D.
NPI 1154420206 · Sports Medicine (Orthopaedic Surgery) Physician · Philadelphia, PA
Provider details
- NPI number
- 1154420206
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD418718 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-2111
Fax: (215) 707-2324
Approximate (ZIP-level) locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2020-12-21
- Certified
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.