Individual
ANTHONY N FABRICATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3535 MARKET ST, SUITE 3108, PHILADELPHIA, PA 19104-3309
(215) 746-7199
Mailing address
3624 MARKET ST, SUITE 560W, PHILADELPHIA, PA 19104-2614
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015505
PA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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