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

Pediatric & Preventive Medicine Assoc PC

Organization Pediatrics Physician · NPI 1447311576

Pediatric & Preventive Medicine Assoc PC is a Pediatrics 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.

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Practice location Address checks out

4035 Powelton Ave
Philadelphia, PA 19104-2262
Phone: (215) 471-7000
Fax: (215) 474-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD039729L (PA)

Record details

NPI number1447311576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Drain — President Owner · (215) 227-3300
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 11, 2016
Mailing address3847 North Sydenham Street, Philadelphia, PA 19140

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