Organization
FRUITION MEDICINE PLLC
Active
Other names
Fishtown Medicine, Fruition Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHVIN VIJAYAKUMAR MD (FOUNDER/PHYSICIAN)
(267) 360-7927
Entity
Organization
Contact information
Practice address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(267) 360-7927
(215) 267-9781
Mailing address
2418 E YORK ST, PHILADELPHIA, PA 19125-3006
(267) 360-7927
(215) 267-9781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
11/29/2024
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