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Organization

FOUNTAIN MEDICAL ASSOCIATES P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAFIYYA S SHABAZZ MD (MEDICAL DIRECTOR)
(215) 924-2440
Entity
Organization

Contact information

Practice address
22 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119
(215) 924-2440
(267) 437-2346
Mailing address
22 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119-1712
(215) 924-2440
(267) 437-2346

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD428070
PA

Other

Enumeration date
06/04/2010
Last updated
07/27/2018
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