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Search › Pennsylvania › 2080P0210X

Brandon Fairless, M.D

NPI 1659802502 · on the registry since 2017

Practice

Address
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone
(215) 590-2449
Organisation at this address
Childrens Health Care Associates
Children'S Health Care Associates
Childrens Health Care Associate'S
Children'S Health Care Associates
Children'S Surgical Associates Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,470

Registry record

Primary taxonomy
2080P0210X
2080P0210X
Also registered as
208000000X
390200000X
Licence states on file
PA, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania