person
Ethan Fadale, PA-C
Medical Physician Assistant in Philadelphia, Pennsylvania
NPI 1982290656

Ethan Fadale is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Ethan Fadale practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Ethan Fadale is 1982290656 and holds a License No. MA061845 (Pennsylvania).

The current practice location address for Ethan Fadale is 2301 S Broad St, Philadelphia, PA and can be reached out via phone at 215-952-9000.

Location: 2301 S Broad St, Philadelphia, PA, 19121-4808
person
Provider Profile Details
NPI Number
1982290656
Provider Name
Ethan Fadale
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2301 S Broad St, Philadelphia, PA, 19121-4808
Phone Number
215-952-9000
Fax Number
Provider Enumeration Date
12/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2301 S Broad St
City
State
Zip
19148-3542
Phone Number
215-952-9000
Fax Number
person
Provider Business Mailing Address Details
Address
2301 S Broad St
City
State
Zip
19148-3542
Phone Number
215-952-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA061845 (Pennsylvania)
Definition
Definition to come...
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