Provider

2126 FAIRMOUNT MEDICAL, INC.

Public NPPES listing with taxonomy: Internal Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1114972114

Taxonomy: Internal Medicine (207R00000X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 2126 FAIRMOUNT AVE, PHILADELPHIA, PA, 191302603

Phone: 215-236-4600

Last verified: May 13, 2026