Individual
FERNANDO ALFONSO ESCOBAR RENGIFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHOP RADIOLOGY, PHILADELPHIA, PA 19104
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, CHOP RADIOLOGY, PHILADELPHIA, PA 19104-5127
(215) 590-1000
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD442271
PA
2085R0202X
Diagnostic Radiology Physician
MD442271
PA
Other
Enumeration date
08/06/2009
Last updated
06/13/2017
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