Organization
FRANKFORD MEDICAL AND PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ANTHONY CHAVARRIA M. D. (MANAGER)
(215) 288-0159
Entity
Organization
Contact information
Practice address
4911 FRANKFORD AVE, PHILADELPHIA, PA 19124-2617
(215) 288-0159
(215) 288-0169
Mailing address
PO BOX 23169, PHILADELPHIA, PA 19124-0169
(215) 288-0159
(215) 288-0169
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD044909E
PA
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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