| Mark B. Fabi, M.d., P.c. | |
|
834 Chestnut St 427 Philadelphia PA 19107-5127 | |
| (856) 261-4053 | |
| Not Available |
| Full Name | Mark B. Fabi, M.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 834 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Helene M Friedman (ASSISSTANT) |
| Authorized Official Contact | 8562614053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B. Fabi, M.d., P.c. 834 Chestnut St 427 Philadelphia PA 19107-5127 Ph: (856) 261-4053 | Mark B. Fabi, M.d., P.c. 834 Chestnut St 427 Philadelphia PA 19107-5127 Ph: (856) 261-4053 |
| NPI Number | 1689927774 |
|---|---|
| Provider Enumeration Date | 10/26/2012 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 3971731431 |
|---|---|
| Medicare Enrollment ID | O20140109000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689927774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Mark B Fabi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356479604 PECOS PAC ID: 9830327907 Enrollment ID: I20140117000133 |
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