Individual
ETHAN CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 5 WHITE, PHILADELPHIA, PA 19104
(215) 662-2454
(215) 662-7527
Mailing address
3400 SPRUCE ST, 5 WHITE, PHILADELPHIA, PA 19104-4238
(215) 662-2454
(215) 662-7527
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD464131
PA
Other
Enumeration date
05/03/2011
Last updated
08/13/2018
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