Provider Demographics
NPI:1366870842
Name:DREXEL UNIVERSITY
Entity type:Organization
Organization Name:DREXEL UNIVERSITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIR, NUTRITION SCIENCES
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLPE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-762-7014
Mailing Address - Street 1:1601 CHERRY ST FL 2
Mailing Address - Street 2:PARKWAY HEALTH & WELLNESS MS21041
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1306
Mailing Address - Country:US
Mailing Address - Phone:215-552-7012
Mailing Address - Fax:215-552-7019
Practice Address - Street 1:1601 CHERRY ST FL 2
Practice Address - Street 2:PARKWAY HEALTH & WELLNESS MS21041
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1306
Practice Address - Country:US
Practice Address - Phone:215-552-7012
Practice Address - Fax:215-552-7019
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DREXEL UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-21
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003103261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty