| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558795427 | BALL | SHERONDA | RAE | 8220 CASTOR AVE | PHILADELPHIA | PA | 191522729 | |
| 1043777626 | CAMPBELL | JORDON | 8220 CASTOR AVE | PHILADELPHIA | PA | 191522729 | ||
| 1588724892 | SMITH | MARY ELLEN | 8220 CASTOR AVE | PHILADELPHIA | PA | 191522729 |