| NPI | 1851956171 |
|---|---|
| Doing Business As | FAIRMONT MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BREANNA SANTIAGO Provider Enrollment Liaison 484-884-0661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |