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

The Wedge Medical Center, PC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1053538447

The Wedge Medical Center, PC is an Addiction (Substance Use Disorder) Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2
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

3609 N Broad St
Philadelphia, PA 19140-4107
Phone: (215) 223-1100
Fax: (215) 223-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 807376 (PA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 807376 (PA)

Record details

NPI number1053538447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Takisa Gallman — Administrative Director · (215) 276-3922
NPI enumeratedApril 19, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address3609 N Broad St, Philadelphia, PA 19140-4107

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