| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1861660458 | EASTER | ELKA | W. | 5619-25 VINE STREET | PHILADELPHIA | PA | 191391302 | |
| 1457318768 | FERGUSON | VICTORIA | 5619-25 VINE STREET | PHILADELPHIA | PA | 191391302 | ||
| 1114907334 | MELTONTATE | DELIA | CHRISTINA | 5619-25 VINE STREET | PHILADELPHIA | PA | 191391302 | |
| 1477734267 | MICHELS | REBECCA | 5619-25 VINE STREET | PHILADELPHIA | PA | 191391302 | ||
| 1184786519 | PITTMAN | KAI | A | 51 NORTH 39TH STREET | PHILADELPHIA | PA | 191042640 |