Individual
PETER FUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 E MORELAND AVE STE 100, PHILADELPHIA, PA 19118-3562
(267) 437-3163
(267) 437-3176
Mailing address
10 E MORELAND AVE STE 100, PHILADELPHIA, PA 19118-3562
(267) 385-5538
(267) 437-3176
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD045122E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017142320003
—
PA
01
—
009627
HIGHMARK BLUE SHIELD
PA
01
—
0171423205
AMERICHOICE
PA
01
—
0715867000
PERSONAL CHOICE
PA
01
—
1016996
KEYSTONE MERCY
PA
01
—
12945MD045122E
HEALTH PARTNERS
PA
01
—
504883
AETNA
PA
01
—
CA1374
RAILROAD MEDICARE
PA
Enumeration date
11/28/2005
Last updated
06/03/2022
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