FADEMOS FAMILY PRACTICE

NPI # 

Practice Address:

16 Old Ashton Rd Ste 1

Philadelphia, PA, 19152-1661

Practice Phone:

215-613-5069

Practice Fax:

215-613-6809

License Number:

SP008704

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X