| NPI | 1356169619 |
|---|---|
| Doing Business As | FRUITION MEDICINE |
| Doing Business As | FISHTOWN MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ASHVIN VIJAYAKUMAR Founder/Physician 267-360-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-11-29 |