RONNIE SHADE

PHILADELPHIA, PA
NPI1487394805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS024474)
Enumeration Date2022-04-01
Last Update Date2026-04-07
Business Address
RONNIE SHADE DO
2940 N 5TH ST
PHILADELPHIA, PA 19133-2801
Phone number: 215-302-3600
Mailing Address
RONNIE SHADE DO
2433 N 50TH ST
PHILADELPHIA, PA 19131-1404
Phone number: 214-417-2500