| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558347625 | FRISCH | MARK | 623 UNRUH AVE | PHILA | PA | 19111 | ||
| 1184601627 | TANENBAUM | JUDITH | ANN | 623 UNRUH AVE | PHILA | PA | 19111 | |
| 1932185576 | WOLTJEN | MARY | KATHRYN | 623 UNRUH AVE | PHILA | PA | 191114709 |