FADEMOS FAMILY PRACTICE is a primary care clinic center in Philadelphia, PA. FADEMOS FAMILY PRACTICE NPI is 1801138896. The provider is registered as an organization entity type.
The provider's business location address is:
16 OLD ASHTON RD STE 1
PHILADELPHIA, PA
ZIP 19152-661
Phone: (215) 613-5069
Fax: (215) 613-6809
The provider's authorized official is Mariam Salahou .
The authorized official title is Ceo/clinical Director and has the following contact phone number (215) 613-5069.
The CLIA number assigned to this NPI record is 39D2049634 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 3/18/2013 and was last updated on 3/18/2013.