Ethan Fadale, PA-C is a medical physician assistant in Philadelphia, PA with 4 years of experience. Ethan Fadale, PA-C NPI is 1982290656. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2020
The provider's business location address is:
2301 S BROAD ST
PHILADELPHIA, PA
ZIP 19148-542
Phone: (215) 952-9000
The NPI 1982290656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.