Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fademos Family Practice

Organization Primary Care Clinic/Center · NPI 1801138896

Fademos Family Practice is a Primary Care Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013

Practice location Address checks out

16 Old Ashton Rd Ste 1
Philadelphia, PA 19152-1661
Phone: (215) 613-5069
Fax: (215) 613-6809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence SP008704 (PA)

Record details

NPI number1801138896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Salahou — Ceo/Clinical Director · (215) 613-5069
NPI enumeratedMarch 18, 2013
Last updated in NPPESMarch 18, 2013
Mailing address16 Old Ashton Rd Ste 1, Philadelphia, PA 19152-1661

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