| Christa Habboushe, Md, Llc | |
|
4534 Richmond St Phila PA 19137-2040 | |
| (215) 743-3335 | |
| (215) 744-2109 |
| Full Name | Christa Habboushe, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4534 Richmond St, Phila, Pennsylvania |
| Authorized Official Name and Position | Christa Habboushe (OWNER) |
| Authorized Official Contact | 2157433335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christa Habboushe, Md, Llc 4534 Richmond St Phila PA 19137-2040 Ph: (215) 743-3335 | Christa Habboushe, Md, Llc 4534 Richmond St Phila PA 19137-2040 Ph: (215) 743-3335 |
| NPI Number | 1053418293 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053418293 | NPI | - | NPPES |
| 3297483 | Other | PA | ENTITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD033959L (Pennsylvania) | Primary |
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