Individual
ALEXIS M FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
(215) 590-7387
Mailing address
4601 MARKET ST, PHILADELPHIA, PA 19139-4636
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD433132
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD433132
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102299060
—
PA
Enumeration date
08/16/2007
Last updated
09/09/2025
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