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Organization

FORT HEALTH MEDICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SABA HAQ MD (PRESIDENT)
(949) 463-0650
Entity
Organization

Contact information

Practice address
100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107-1316
(201) 208-2616
Mailing address
1887 WHITNEY MESA DR # 9001ZN, HENDERSON, NV 89014-2069
(201) 208-2616
(973) 381-5773

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
208000000X
Pediatrics Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
11/08/2023
Last updated
05/15/2025
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