Organization · Type 2 NPI

Fort Health Medical Group PA

Pediatrics Physician · Philadelphia, PA

NPI number 1104690379 Active

Practice location

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316

Mailing address

1887 Whitney Mesa Dr # 9001ZN
Henderson, NV 89014-2069

Other practice locations

  • 4905 W Tilghman St Ste 300, Allentown, PA 18104-9135 · (201) 208-2616
  • 7244 Castor Ave # 8177, Philadelphia, PA 19149-1109 · (201) 208-2616

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Pediatrics Physician Primary 208000000XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1104690379

Fort Health Medical Group PA's National Provider Identifier is 1104690379, issued on Nov 8, 2023. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Philadelphia, PA. The record was last updated on May 15, 2025.