Individual
MR. ISSAM M FADUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
723 N MARKOE ST, PHILADELPHIA, PA 19139-2149
(267) 408-9895
Mailing address
723 N MARKOE ST, PHILADELPHIA, PA 19139-2149
(267) 408-9895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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