Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holy Family University

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1366961237

Holy Family University is a Sports Medicine (Orthopaedic Surgery) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017

Practice location Address checks out

9801 Frankford Ave
Philadelphia, PA 19114-2009
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD028513E (PA)

Record details

NPI number1366961237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Holy Family Sports Medicine
NPI enumeratedSeptember 12, 2017
Last updated in NPPESSeptember 12, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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