| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1477023307 | ALVA PORROA | PAMELA | A | 1412-22 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 19130 | |
| 1679776926 | DEJOSEPH | JULIA | L | 1412-22 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 19130 | |
| 1912393539 | HENNELLY | MARIE | OLIVA | 1412-22 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 191302908 | |
| 1336674670 | VOGL | ALLISON | 1920 PINE ST | PHILADELPHIA | PA | 191036621 |