NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

2126 FAIRMOUNT MEDICAL, INC.
2126 FAIRMOUNT AVE
PHILADELPHIA, PA19130-2603
 Phone: 215-236-4600
 Fax: 215-236-4609
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for 2126 FAIRMOUNT MEDICAL, INC.

NPI Number 1114972114
LBN Legal business name 2126 FAIRMOUNT MEDICAL, INC.
Authorized official FRANK MONDSCHEIN - (PHYSICIAN CO-OWNER)
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/24/2006
Last updated 07/08/2007 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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