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