MARK S CODELLA SR.

FOX CHASE GASTRO ASSOC., P.C.

Dr MARK S CODELLA SR. is a male medical professional, specializing in Gastroenterology. He graduated in 1984 from Hahnemann University College Of Medicine.

Contact

FOX CHASE GASTRO ASSOC., P.C.

1403 RHAWN ST
PHILA
PA
191112803

Tel: 2157286688

MARK S CODELLA SR. Information

Npi 1356361919
Pac Id 7416953583
Professional Enrollment Id I20120718000155
Last Name CODELLA
First Name MARK
Middle Name S
Suffix SR.
Gender M
Credential
Medical School Name HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1984
Primary Specialty GASTROENTEROLOGY
Secondary Specialty 1 INTERNAL MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERNAL MEDICINE
Organization Legal Name FOX CHASE GASTRO ASSOC., P.C.
Group Practice Pac Id 7911981170
Number Of Group Practice Members 4
Line 1 Street Address 1403 RHAWN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PHILA
State PA
Zip Code 191112803
Phone Number 2157286688
Hospital Affiliation Ccn 1 390204
Hospital Affiliation Lbn 1 NAZARETH HOSPITAL
Hospital Affiliation Ccn 2 390080
Hospital Affiliation Lbn 2 JEANES HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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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