Dr DATHAN L ENOCH CNA is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2001.
TEMPLE FACULTY PRACTICE PLAN INC
333 COTTMAN AVE
PHILADELPHIA
PA
191112434
Tel: 2157072111
| Npi | 1255366365 |
| Pac Id | 5496720716 |
| Professional Enrollment Id | I20040831000519 |
| Last Name | ENOCH |
| First Name | DATHAN |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | CNA |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TEMPLE FACULTY PRACTICE PLAN INC |
| Group Practice Pac Id | 0345588711 |
| Number Of Group Practice Members | 584 |
| Line 1 Street Address | 333 COTTMAN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 191112434 |
| Phone Number | 2157072111 |
| Hospital Affiliation Ccn 1 | 390156 |
| Hospital Affiliation Lbn 1 | MERCY FITZGERALD HOSPITAL |
| Hospital Affiliation Ccn 2 | 390027 |
| Hospital Affiliation Lbn 2 | TEMPLE UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 3 | 390204 |
| Hospital Affiliation Lbn 3 | NAZARETH HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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