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

Indepedence Medical Associates PC

Organization Family Medicine Physician · NPI 1053348953

Indepedence Medical Associates PC is a Family Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3790 Morrell Ave
Philadelphia, PA 19114-1955
Phone: (215) 612-1450
Fax: (215) 612-1420
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS 009194-L (PA)

Record details

NPI number1053348953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Glickman — Physician · (215) 612-1450
NPI enumeratedJune 27, 2006
Last updated in NPPESOctober 27, 2008
Mailing address3790 Morrell Ave, Philadelphia, PA 19114-1955

Other providers in Philadelphia