| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093107161 | MITCHELL | MARQUETTA | 8220 CASTOR AVE | PHILADELPHIA | PA | 191522729 | ||
| 1720637184 | PARKS | ALBERT | GEORGE | 8220 CASTOR AVE | PHILA | PA | 191522729 | |
| 1720373780 | RABADY | JENNIFER | R | 8220 CASTOR AVENUE | PHILADELPHIA | PA | 191522729 |