Fademos Family Practice

LBN: Fademos Family Practice
Fademos Family Practice is an health care organization with primary practice located at 16 Old Ashton Rd Ste 1 , Philadelphia PA 19152-1661. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Fademos Family Practice can be contacted via phone (215) 613-5069, or through Salahou, Mariam via phone (215) 613-5069.

Contact Information

Primary practice address
16 Old Ashton Rd Ste 1 Philadelphia PA 19152-1661
Phone: (215) 613-5069
Fax: (215) 613-6809
Website:
Map and Directions
Authorized official contact:
Name: Salahou, Mariam CRNP
Phone: (215) 613-5069

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X SP008704 Pennsylvania

Profile Details

NPI number 1801138896
LBN Legal business name Fademos Family Practice
DBA Doing business as
Authorized official Salahou, Mariam CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2013
Last updated Mar 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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