Individual
DR. FRED W. MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 301, PHILADELPHIA, PA 19107-4405
(215) 955-7190
(215) 923-9186
Mailing address
833 CHESTNUT STREET, SUITE 301, PHILADELPHIA, PA 19107-4405
(215) 955-7190
(215) 923-9186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-019513-E
PA
207V00000X
Obstetrics & Gynecology Physician
MD-019513-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001290282
—
PA
Enumeration date
07/15/2006
Last updated
09/09/2014
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