Individual
ALLISON FIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5501 OLD YORK RD, PHILA, PA 19141-3018
(215) 456-6679
(215) 456-8502
Mailing address
101 E OLNEY AVE, SUITE 400, PHILA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232664784
TAX ID GROUP
PA
Enumeration date
12/14/2007
Last updated
10/22/2014
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