Organization · Type 2 NPI

Ethel Lee Zachary Foundation

Student Health Clinic/Center · Philadelphia, PA

NPI number 1831797679 Active

Practice location

5400 Lansdowne Ave Apt G2
Philadelphia, PA 19131-3916

Specialties and licenses

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XNone listed

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About NPI 1831797679

Ethel Lee Zachary Foundation's National Provider Identifier is 1831797679, issued on Oct 14, 2020. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 14, 2020.