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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORT HEALTH MEDICAL GROUP PA

Active Organization

FORT HEALTH MEDICAL GROUP PA is a Pediatrics organization located in PHILADELPHIA, Pennsylvania. NPI 1104690379 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · PHILADELPHIA, PA

Registration Details

NPI Number
1104690379
Provider Type
Organization
NPI Issued
Nov 8, 2023 (2.7852153066325 yrs)
Last Updated
May 15, 2025

Practice Information

Address
100 S JUNIPER ST FL 3
PHILADELPHIA, PA, 191071316
Browse PA providers · Browse ZIP 19107
Phone
2012082616
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.