Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Indepedence Medical Associates PC

Organization Family Medicine Physician · NPI 1053348953

Indepedence Medical Associates PC provides Family Medicine Physician services 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

3790 Morrell Ave
Philadelphia, PA 19114-1955 Not confirmed with CMS for 17 years — call before visiting
Phone: (215) 612-1450
Fax: (215) 612-1420
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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

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