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Search › Pennsylvania › 207P00000X

Jackie Fane, M.D

NPI 1760831333 · on the registry since 2016 · sole proprietor

Practice

Address
230 N Broad St
Philadelphia, PA 19102
Phone
(215) 762-2618
Organisation at this address
Isd Renal Inc
Drexel University
Drexel University
Drexel University
Drexel University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
168

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-06

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