| Echa Family Medine | |
|
101 E Olney Ave Philadelphia PA 19120-2421 | |
| (215) 456-4694 | |
| Not Available |
| Full Name | Echa Family Medine |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Olney Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dawn Candia (SUPERVISOR, ENROLLMENT) |
| Authorized Official Contact | 2154564694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echa Family Medine 5501 Old York Road Korman, Suite 202 Philadelphia PA 19141-3018 Ph: (215) 456-4694 | Echa Family Medine 101 E Olney Ave Philadelphia PA 19120-2421 Ph: (215) 456-4694 |
| NPI Number | 1063922359 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063922359 | NPI | - | NPPES |
| 0015771700023 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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