Ethan Christopher Villavicencio, MD
Ethan Christopher Villavicencio, MD is a Surgery Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2026
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3401 N Broad StPhiladelphia, PA 19140-5189
Phone: (215) 707-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence MT236383 (PA) |
|---|
Record details
| NPI number | 1699610980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2026 |
| Last updated in NPPES | April 29, 2026 |
| Certification date | April 29, 2026 |
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