Individual
DR. DIEDRA ELENA AMENDOLA MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 WASHINGTON AVE, PHILADELPHIA, PA 19147-4717
(215) 339-5100
(215) 454-6814
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS016486
PA
207Q00000X
Family Medicine Physician
UO 2270
FL
Other
Enumeration date
09/01/2009
Last updated
04/14/2016
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