Individual
DR. ABIOLA A FASINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6688
Mailing address
3400 SPRUCE STREET, GROUND FLOOR RAVDIN, PHILADELPHIA, PA 19104
(215) 662-6688
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA09038200
NJ
207P00000X
Emergency Medicine Physician
440238
PA
207P00000X
Emergency Medicine Physician
Primary
MD440238
PA
Other
Enumeration date
06/09/2008
Last updated
06/06/2014
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