Individual provider · NPI-1
Dr. Tamara B Fedec, D.O.
Family Medicine · Bala Cynwyd, PA
NPI number1124085725
StatusActive
Last updated in NPPESSep 16, 2016
Details
- NPI
- 1124085725
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tamara B Fedec
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2006
- Last updated
- Sep 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS-006164-L | PA | Yes |
Practice location
301 E City AveSuite 100
Bala Cynwyd, PA 19004-1708
Phone 610-617-1300 · Fax 610-617-0199
Mailing address
301 E City AveSuite 100
Bala Cynwyd, PA 19004-1708
Phone 610-617-1300 · Fax 610-617-0199
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