Ethel Lee Zachary Foundation
NPI #1831797679 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1831797679
- Entity Type
- Organization
- Organization Name
- Ethel Lee Zachary Foundation
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Oct 14, 2020
- Last Updated
- Oct 14, 2020
Practice Location
- Address
- 5400 LANSDOWNE AVE APT G2
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19131-3916
- Phone
- (267) 386-6361
Authorized Official
- Name
- MR. AMANHOTEP J PARKER VI
- Title
- CEO
- Phone
- (267) 386-6361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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