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Organization
FASTIGIUM PHYSICAL MEDICINE LLC
Active
Organization
FASTIGIUM PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENDEL KUPFER MD (SOLE OWNER/PROVIDER)
(215) 435-2500
Entity
Organization
Contact information
Practice address
675 GOOD DR, LANCASTER, PA 17601-2426
(215) 435-2500
Mailing address
2093 PHILADELPHIA PIKE # 5845, CLAYMONT, DE 19703-2424
(215) 435-2500
(802) 335-3933
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
12/06/2023
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