Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FOUNTAIN MEDICAL ASSOCIATES P C
Active
Organization
FOUNTAIN MEDICAL ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAFIYYA S SHABAZZ MD (MEDICAL DIRECTOR)
(215) 924-2440
Entity
Organization
Contact information
Practice address
22 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119
(215) 924-2440
(267) 437-2346
Mailing address
22 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119-1712
(215) 924-2440
(267) 437-2346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD428070
PA
Other
Enumeration date
06/04/2010
Last updated
07/27/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers