National Provider Identifier Database

FRUITION MEDICINE PLLC
Primary Care


Contact Information

FRUITION MEDICINE PLLC
2418 E YORK ST
PHILADELPHIA, PA19125-3006
Phone: 267-360-7927
Fax: 215-267-9781
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Addiction Medicine 207RA0401X
Clinic/Center 261Q00000X
Community Health 261QC1500X
Corporate Health 261QC1800X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for FRUITION MEDICINE PLLC

NPI Number 1356169619
Legal business name
LBN
FRUITION MEDICINE PLLC
Authorized official ASHVIN VIJAYAKUMAR - (FOUNDER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 09/26/2024
Last updated 11/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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