OrganizationActive
Holy Family University
NPI 1366961237 · Sports Medicine (Orthopaedic Surgery) Physician · Philadelphia, PA
Provider details
- NPI number
- 1366961237
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mouzon Bass, Agent
- License
- MD028513E (PA)
Practice location
9801 Frankford Ave
Philadelphia, PA 19114-2009
Phone: (972) 367-4845
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Registry dates
- Enumerated
- 2017-09-12
- Last updated
- 2017-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.