OCTAVIA EVETTE PICKETT-BLAKELY

PHILADELPHIA, PA
NPI1700941309
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: PA  MD439919)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  MD439919)
Enumeration Date2006-12-26
Last Update Date2016-02-04
Business Address
-- OCTAVIA EVETTE PICKETT-BLAKELY MD
3400 CIVIC CENTER BLVD PCAM 4 SOUTH
PHILADELPHIA, PA 19104-5127
Phone number: 215-349-8222
Mailing Address
-- OCTAVIA EVETTE PICKETT-BLAKELY MD
3400 CIVIC CENTER BLVD PCAM 4 SOUTH
PHILADELPHIA, PA 19104-5127
Phone number: 215-349-8222