Provider Demographics
NPI:1326192337
Name:PHILADELPHIA HEALTH & EDUCATION CORP
Entity Type:Organization
Organization Name:PHILADELPHIA HEALTH & EDUCATION CORP
Other - Org Name:DREXEL INFERTILITY SVCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. EXECUTIVE DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LOU
Authorized Official - Middle Name:
Authorized Official - Last Name:MEINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-762-1321
Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1321
Mailing Address - Country:US
Mailing Address - Phone:215-255-7822
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:4190 CITY AVE
Practice Address - Street 2:ROWLAND HALL, SUITE 418
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1626
Practice Address - Country:US
Practice Address - Phone:215-477-4960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1839976OtherHIGHMARK PA BS GROUP #