# MICHAEL S FAKHRAEE MD ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871624031
- **Authorized official:** DR. MICHAEL S FAKHRAEE MD (PRESIDENT)
- **Authorized official phone:** (215) 728-8200

## Contact information

- **Practice address:** 7500 CENTRAL AVE, SUITE 101, PHILADELPHIA, PA 19111-2430
- **Practice address phone:** (215) 728-8200
- **Practice address fax:** (215) 725-3209
- **Mailing address:** 7500 CENTRAL AVE, SUITE 101, PHILADELPHIA, PA 19111-2430
- **Mailing address phone:** (215) 728-8200
- **Mailing address fax:** (215) 725-3209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 04/01/2008