Provider Demographics
NPI:1134184278
Name:ALARCON, FABRICIO J (MD)
Entity type:Individual
Prefix:DR
First Name:FABRICIO
Middle Name:J
Last Name:ALARCON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71289
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19176-6289
Mailing Address - Country:US
Mailing Address - Phone:302-456-5725
Mailing Address - Fax:
Practice Address - Street 1:2 LEE AVE
Practice Address - Street 2:UNIT 103
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2149
Practice Address - Country:US
Practice Address - Phone:302-856-4092
Practice Address - Fax:302-856-4153
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10005514207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000952701Medicaid
DE870207Medicare ID - Type Unspecified
DEG90824Medicare UPIN