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Individual

DR. FAWZI P HABBOUSHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PEPPER PAVILION STE 1100, ONE GRADUATE PLAZA, PHILA, PA 19146
(215) 735-4223
(215) 735-3704
Mailing address
PEPPER PAVILION STE 1100, ONE GRADUATE PLAZA, PHILA, PA 19146
(215) 735-4223
(215) 735-3704

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD304692L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007252040005
PA
01
0052113000
KEYSTONE HPE
PA
01
0072520401
AMERIHEALTH
PA
05
0072520401
PA
01
049958
AETNA
PA
01
07545
SENIOR PARTNERS
PA
01
163775
BC/BS
PA
01
32169
KEYSTONE MERCY
PA
01
6295282001
CIGNA
PA
Enumeration date
06/21/2006
Last updated
10/12/2007
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