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Contact Information

FRUITION MEDICINE PLLC
2418 E YORK ST
PHILADELPHIA, PA19125-3006
 Phone: 267-360-7927
 Fax: 215-267-9781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

261QP2300X
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Clinic/Center

261Q00000X
 

Community Health

261QC1500X
 

Corporate Health

261QC1800X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FRUITION MEDICINE PLLC

NPI # 1356169619
LBN Legal business name FRUITION MEDICINE PLLC
Authorized official ASHVIN VIJAYAKUMAR - (FOUNDER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2024
Last updated 11/29/2024 - More than a year 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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