Individual
FARES KALACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5933
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT187025
PA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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