Mildred T Fajardo (NPI# 1023223351, PAC ID# 5395931794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1023223351 |
| PAC ID by PECOS | 5395931794 |
| Professional Enrollment ID | I20101124000759 |
| Full Name | Mildred T Fajardo |
| Organization Legal Name | DELAWARE COUNTY PROFESSIONAL SERVICES, INC |
| Address |
1500 Walnut St Suite 601 Philadelphia PA 19102-3504 |
| Phone Number | 6108923800 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2668436692 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Ctr Blvd, Chester, PA 19013-3902 | PROSPECT HEALTH ACCESS NETWORK INC | |
| 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 | 6104940700 | PROSPECT HEALTH ACCESS NETWORK INC |
| 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 | 6108923800 | DELAWARE COUNTY PROFESSIONAL SERVICES, INC |
| Organization Legal Name | DELAWARE COUNTY PROFESSIONAL SERVICES, INC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Russo-innamorato | Psychologist, Clinical | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Charles J Wilson | Psychologist, Clinical | Delaware County Professional Services, Inc | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 |
| Lillian S Goertzel | Clinical Psychologist | Delaware County Professional Services, Inc | 3700 Market St, Suite 301, Philadelphia, PA 19104-3143 |
| Paree Stoulis | Clinical Social Worker | Delaware County Professional Services, Inc | 780 E Market St, Suite 230, West Chester, PA 19382-4882 |
| Catherine Mcnally | Clinical Social Worker | Delaware County Professional Services, Inc | 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2737 |
| Amy K Vaccaro | Clinical Social Worker | Delaware County Professional Services, Inc | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 |
| Marjorie Rubin | Psychologist, Clinical | Delaware County Professional Services, Inc | 2010 W Chester Pike, Suite 314, Havertown, PA 19083-2737 |
| Robert Anderson | Clinical Social Worker | Delaware County Professional Services, Inc | 780 E Market St, Suite 230, West Chester, PA 19382-4882 |
| Joanna P Frederick | Clinical Social Worker | Delaware County Professional Services, Inc | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 |
| Stacey Gill | Clinical Social Worker | Delaware County Professional Services, Inc | 1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173 |
| Street Address |
1500 WALNUT ST SUITE 601 |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19102-3504 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Russo-innamorato | Psychologist, Clinical | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Stephen David Hess | Dermatology | 1500 Walnut St, 1240 Center City Dermatology, Philadelphia, PA 19102-3524 | |
| Kimberly A Gora Buck | Clinical Social Worker | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Richard Sobel | Psychiatry | 1500 Walnut St, Suite 902, Philadelphia, PA 19102-3518 | |
| David W Galbraith | Clinical Social Worker | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Maddi Jane Sobel | Clinical Social Worker | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Bernadette Ryan | Clinical Social Worker | Delaware County Professional Services, Inc | 1500 Walnut St, Suite 601, Philadelphia, PA 19102-3504 |
| Michelle Allison Murray | Clinical Psychologist | 1500 Walnut St, Suite 810, Philadelphia, PA 19102-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Gupta | Anesthesiology | Tps II of Pa, LLC | Broad and Vine Sts, Philadelphia, PA 19102 |
| Meera M Harhay | Nephrology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Sandra M. Wolf | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Michael L Podolsky | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Paul J Ambrosini | Psychiatry | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Mary Anne Delaney | Psychiatry | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Shawn K Mattson | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Luis Blasco | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Rosemary A Fitzgerald | Certified Nurse Midwife | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Sara L Allen | Nurse Practitioner | Drexel University | 1427 Vine St, Philadelphia, PA 19102-1031 |
| Find all physicians in zip 19102 | |||
| City | PHILADELPHIA |
| Zip Code | 19102 |
| Specialty | PSYCHIATRY |
| City + Specialty | PHILADELPHIA + PSYCHIATRY |
Please comment or provide details below to improve the information on Mildred T Fajardo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.