Dr MICHAEL S FAKHRAEE is a male medical professional, specializing in Plastic And Reconstructive Surgery. He graduated in 1972.
7500 CENTRAL AVE
SUITE 101
PHILADELPHIA
PA
191112431
Tel:
| Npi | 1215973565 |
| Pac Id | 3678651783 |
| Professional Enrollment Id | I20080415000330 |
| Last Name | FAKHRAEE |
| First Name | MICHAEL |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1972 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialty 1 | GENERAL SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL SURGERY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 7500 CENTRAL AVE |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 191112431 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390080 |
| Hospital Affiliation Lbn 1 | JEANES HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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