Fadl, Reem

Fadl, Reem is an individual health care provider with primary practice located at 4510 Frankford Ave , Phila PA 19124-3602. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fadl, Reem can be contacted via phone (215) 535-1990.

Contact Information

Primary practice address
4510 Frankford Ave Phila PA 19124-3602
Fax: (215) 535-1935
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS031629L Pennsylvania

Profile Details

NPI number 1639223241
LBN Legal business name Fadl, Reem
Credentials DS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Feb 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639223241 NPPES
Pennsylvania MEDICAID 101683193

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