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PHILADELPHIA, PA 191302603
Organization
2126 FAIRMOUNT MEDICAL, INC.
NPI 1114972114
Active
Internal Medicine
Quick Facts
NPI Number
1114972114
Type
Organization (NPI-2)
Status
Active
Enumeration Date
2006-05-24
Last Updated (NPPES)
2020-08-22
Primary Specialty / Taxonomy
| Taxonomy | Internal Medicine |
| Taxonomy Code | 207R00000X |
Practice Address
2126 FAIRMOUNT AVEPHILADELPHIA, PA 191302603
Phone: 215-236-4600
Fax: 215-236-4609
Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.