| 2126 Fairmount Medical, Inc. | |
|
2126 Fairmount Ave Philadelphia PA 19130-2603 | |
| (215) 236-4600 | |
| (215) 236-4609 |
| Full Name | 2126 Fairmount Medical, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2126 Fairmount Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Frank Joseph Mondschein (PHYSICIAN CO-OWNER) |
| Authorized Official Contact | 2152364600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2126 Fairmount Medical, Inc. 2126 Fairmount Ave Philadelphia PA 19130-2603 Ph: (215) 236-4600 | 2126 Fairmount Medical, Inc. 2126 Fairmount Ave Philadelphia PA 19130-2603 Ph: (215) 236-4600 |
| NPI Number | 1114972114 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114972114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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