OrganizationActive
Shriners Hospitals for Children
NPI 1659615706 · Pediatric Orthopaedic Surgery Physician · Philadelphia, PA
Provider details
- NPI number
- 1659615706
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jerry Gantt, President
Practice location
3551 N Broad St
Philadelphia, PA 19140-4160
Phone: (215) 430-4000
Fax: (215) 430-4079
Mailing address
Po Box 8500
Philadelphia, PA 19178-7642
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.