Organization
CHRISTA HABBOUSHE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTA HABBOUSHE MD, LLC (OWNER)
(215) 743-3335
Entity
Organization
Contact information
Practice address
4534 RICHMOND ST, PHILA, PA 19137-2040
(215) 743-3335
(215) 744-2109
Mailing address
4534 RICHMOND ST, PHILA, PA 19137-2040
(215) 743-3335
(215) 744-2109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD033959L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3297483
ENTITY NUMBER
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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