Christa Habboushe, MD, LLC
Family Medicine in Phila, PA. Organization (NPI-2).
NPI number1053418293
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1053418293
- Entity type
- Organization (NPI-2)
- Legal business name
- Christa Habboushe, MD, LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD033959L | PA | Yes |
Practice location
4534 Richmond StPhila, PA 19137-2040
Phone 215-743-3335 · Fax 215-744-2109
Mailing address
4534 Richmond StPhila, PA 19137-2040
Phone 215-743-3335 · Fax 215-744-2109
Authorized official
Christa Habboushe
Owner
2157433335
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