NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063775591 | BUPPAJARNTHAM | SARANYA |   |   | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 |
1619317492 | CALLAGHAN | MATTHEW | MICHAEL |   | 960 MALDON CT | BLUE BELL | PA | 194222453 |
1548523566 | DEBARDELEBEN | JOHN | T |   | 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 |
1649684572 | KALLIS | CHRISTOS |   |   | 3400 CIVIC CENTER BLVD, SOUTH PAVILION EXPANSION | PHILADELPHIA | PA | 191045127 |
1285048520 | MARTIN | JONATHAN | PAUL |   | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 |
1538574942 | STANTON | ANDREW |   |   | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 |