Individual
SUSAN FELLHEIMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 NEW YORK DRIVE, FORT WASHINGTON, PA 19034
(215) 643-7331
(215) 654-0741
Mailing address
101 EAST OLNEY VE, SUITE 505, PHILA, PA 19120
(215) 254-2630
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD024450E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016188800009
—
PA
Enumeration date
02/16/2006
Last updated
07/08/2007
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