ETHAN FADALE

PHILADELPHIA, PA
NPI1982290656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA061845)
Enumeration Date2020-12-17
Last Update Date2020-12-17
Business Address
ETHAN FADALE PA-C
2301 S BROAD ST
PHILADELPHIA, PA 19148-3542
Phone number: 215-952-9000
Mailing Address
ETHAN FADALE PA-C
2225 N COLLEGE AVE
PHILADELPHIA, PA 19121-4808
Phone number: 570-898-9884
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