| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1710327069 | PARHAM | ROMELL | 8220 CASTOR AVE | PHILA | PA | 191522729 | ||
| 1073070926 | WALKER | CLEMATIS | DEANNA | 8220 CASTOR AVE | PHILADELPHIA | PA | 191522729 | |
| 1669812228 | WELBON | RENISE | DENE | 8220 CASTOR AVE | PHILA | PA | 191522729 |