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NPI Code Detail

MEDICARE: ENA M. CADE M.D.

MEDICARE: ENA M. CADE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD072979LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952384208
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENA M. CADE M.D.
Provider Business Mailing Address
First Line : 800 WASHINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-4717
Country : US
Telephone Number : 215-339-5100
Fax Number :
Provider Business Practice Location Address
First Line : 800 WASHINGTON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-4717
Country : US
Telephone Number : 215-339-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 06/10/2013

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