Individual
GERROD MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 864-6930
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-0088
(215) 864-6930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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