IndividualActive
Mark Watkins, DO
NPI 1336226166 · Adult Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1336226166
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS006195L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
253 So 10th Street
Suite 201
Philadelphia, PA 19107-5605
Phone: (215) 829-0170
Fax: (215) 829-0173
Approximate (ZIP-level) locationGet directions
Mailing address
253 S 10th St
Philadelphia, PA 19107-5751
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2009-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.