ETHAN FADALE

PHILADELPHIA, PA
NPI1982290656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA061845)
Enumeration Date2020-12-17
Last Update Date2025-07-30
Business Address
ETHAN FADALE PA-C
1809 W OREGON AVE STE 100
PHILADELPHIA, PA 19145-3700
Phone number: 215-389-3890
Mailing Address
ETHAN FADALE PA-C
2225 N COLLEGE AVE
PHILADELPHIA, PA 19121-4808
Phone number: 570-898-9884
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