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1144413675
DANIEL JUSTIN FADALE
PHILADELPHIA, PA
NPI
1144413675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT191352)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
-- DANIEL JUSTIN FADALE M.D.
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-9837
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Mailing Address
-- DANIEL JUSTIN FADALE M.D.
1606 SPRUCE ST
PHILADELPHIA, PA 19103-6739
Phone number: 904-742-3722
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