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

Fairmount Pediatrics and Adolescent Medicine

Organization Primary Care Clinic/Center · NPI 1487987020

Fairmount Pediatrics and Adolescent Medicine is a Primary Care Clinic/Center in Phila, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009

Practice location Address checks out

2000 Hamilton St #109
Phila, PA 19130-3814
Phone: (215) 774-1166
Fax: (215) 279-8383
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 MD059659L (PA)

Record details

NPI number1487987020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Lieberman — Member Manager · (215) 774-1166
NPI enumeratedSeptember 15, 2009
Last updated in NPPESSeptember 15, 2009
Mailing address7042 Greene St, Phila, PA 19119-3439

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