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1053632596
KATHLEEN ELISSA FANE
PHILADELPHIA, PA
NPI
1053632596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT198010)
Enumeration Date
2010-06-18
Last Update Date
2017-03-21
Business Address
Dr. KATHLEEN ELISSA FANE M.D.
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-5030
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Mailing Address
Dr. KATHLEEN ELISSA FANE M.D.
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-5030
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