Organization
GERMANTOWN PAIN MANAGEMENT & PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANTHONY CHAVARRIA I M.D. (MEDICAL DOCTOR)
(267) 265-4423
Entity
Organization
Contact information
Practice address
6334 GERMANTOWN AVE, PHILADELPHIA, PA 19144-1935
(215) 848-3216
Mailing address
PO BOX 18867, PHILADELPHIA, PA 19119-0867
(215) 848-3216
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD044909E
PA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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