| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1528087988 | GRANT | RICHARD | E | 5501 OLD YORK ROAD | PHILADELPHIA | PA | 19141 | |
| 1295723161 | SHAFFER | GENE | W | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 | |
| 1275612350 | SZPORN | MONROE | N | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 | |
| 1457511719 | WOOZLEY | KATHARINE | THERESA | 5501 OLD YORK RD | PHILADELPHIA | PA | 191413018 |