Individual
FREWEINI TESFALEDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 728-2773
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-6900
(215) 728-2773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1157
MA
363A00000X
Physician Assistant
Primary
MA055692
PA
363AS0400X
Surgical Physician Assistant
0110002928
VA
Other
Enumeration date
06/15/2006
Last updated
11/20/2019
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