Fumo, Peter

Fumo, Peter is an individual health care provider with primary practice located at 10 E Moreland Ave Ste 100 , Philadelphia PA 19118-3562. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fumo, Peter can be contacted via phone (267) 437-3163.

Contact Information

Primary practice address
10 E Moreland Ave Ste 100 Philadelphia PA 19118-3562
Phone: (267) 437-3163
Fax: (267) 437-3176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD045122E Pennsylvania

Profile Details

NPI number 1366425092
LBN Legal business name Fumo, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jun 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366425092 NPPES
Pennsylvania MEDICAID 0017142320003
Pennsylvania Other 0715867000
Pennsylvania Other CA1374
Pennsylvania Other 0715867000
Pennsylvania Other 504883
Pennsylvania Other 009627
Pennsylvania Other 0171423205
Pennsylvania Other 1016996
Pennsylvania Other 12945MD045122E

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