OrganizationActive
Drexel University
NPI 1356458772 · Family Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1356458772
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Waldov, Director of Revenue Cycle - Finance(215) 255-7751
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 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
2 documented practice locations
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
3401 Market St Ste 105b
Philadelphia, PA 19104-3315
Phone: (215) 220-4700
Street-level locationGet directions
Mailing address
1601 Cherry St Ste 11511
Philadelphia, PA 19102-1310
Other names (DBA / former)
- Doing business as
- Drexel Family Medicine
- Doing business as
- Drexel Family Medicine
Additional practice locations (1)
- 10 Shurs LnSuite 203Philadelphia, PA 19127-2123Phone: (215) 482-1234
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.