IndividualActive
Charles Anderson
NPI 1891256632 · Pediatric Nephrology Physician · Philadelphia, PA
Provider details
- NPI number
- 1891256632
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT228058 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd.
Division of Pediatric Nephrology
Philadelphia, PA 19104-5812
Phone: (215) 590-2449
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd.
Philadelphia, PA 19104-5812
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2023-06-29
- Certified
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.