Individual provider · Type 1 NPI
Adam Fredo
Medical Physician Assistant · Philadelphia, PA
NPI number
1891104923
Active
Practice location
3400 Spruce St, 3 Rhoads
Philadelphia, PA 19104-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA058082 (PA) |
| Nurse Practitioner | 363L00000X | MA058082 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1891104923
Adam Fredo's National Provider Identifier is 1891104923, issued on Aug 2, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 20, 2016.