Organization
COTTMAN & CASTOR PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANTHONY CHAVARRIA SR. M.D. (PHYSICIAN)
(215) 745-7970
Entity
Organization
Contact information
Practice address
1934 COTTMAN AVE, PHILADELPHIA, PA 19111-3817
(215) 745-7970
(215) 745-7972
Mailing address
1934 COTTMAN AVE, PHILADELPHIA, PA 19111-3817
(215) 745-7970
(215) 745-7972
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD044909E
PA
Other
Enumeration date
08/27/2009
Last updated
10/14/2010
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