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

JACKIE FANE, M.D.

Active Sole Proprietor

JACKIE FANE, M.D. is a Emergency Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1760831333 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · PHILADELPHIA, PA

Registration Details

NPI Number
1760831333
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2016 (10.181000771601 yrs)
Last Updated
Jun 6, 2016
License
MT211533 (FL)
Sole Proprietor
Yes

Practice Information

Address
230 N BROAD ST
PHILADELPHIA, PA, 191021121
Browse PA providers · Browse ZIP 19102
Phone
2157622618
Primary Specialty
Emergency Medicine
207P00000X

Other Emergency Medicine Providers in PHILADELPHIA, PA

Name Credential NPI
ZACHARY FRANKLIN MEISEL MD 1013919935
DR. ANDREW A. ARONSON MD 1720080302
DR. DANIEL COACHI MD 1245222991
DR. SCOTT JASON KORVEK MD, FACEP 1134111412
BOHDAN M MINCZAK MD 1396738456
DR. BENJAMIN CHIH-AN SUN M.D., M.P.P 1083697791
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.