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Contact Information

RAVEN ADAMS
5501 OLD YORK RD
PHILADELPHIA, PA19141-3018
 Phone: 215-456-7170
 Fax: 215-456-4923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RAVEN ADAMS · (Female)

NPI Number 1902434582
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2020
Last updated 02/13/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # OS024294
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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