Individual provider · Type 1 NPI

Ethan Fadale, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1982290656 Active

Practice location

1809 W Oregon Ave Ste 100
Philadelphia, PA 19145-3700

Call (215) 389-3890 Map

Fax (215) 551-0368

Mailing address

2225 N College Ave
Philadelphia, PA 19121-4808

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA061845 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1982290656

Ethan Fadale, PA-C's National Provider Identifier is 1982290656, issued on Dec 17, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 30, 2025.