Individual
RONALD M FAIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-2050
(215) 349-8195
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-2050
(215) 349-8195
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD021126E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009722230004
—
PA
Enumeration date
06/27/2006
Last updated
08/31/2015
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