Healthcare Provider Details

I. General information

NPI: 1881151686
Provider Name (Legal Business Name): CMF MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 S 13TH ST
PHILADELPHIA PA
19148-2915
US

IV. Provider business mailing address

2119 S 13TH ST
PHILADELPHIA PA
19148-2915
US

V. Phone/Fax

Practice location:
  • Phone: 516-724-5446
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER FECHTER
Title or Position: OWNER
Credential: MD
Phone: 516-724-5446