Individual
BARRY M FABIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8580 VERREE RD, PHILADELPHIA, PA 19111-1370
(215) 214-2891
(215) 214-2894
Mailing address
12265 TOWNSEND RD, SUITE 500, PHILADELPHIA, PA 19154-1201
(215) 856-1009
(215) 856-1020
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD036113E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01219267
—
PA
Enumeration date
08/24/2005
Last updated
07/08/2007
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