Kevin M Fosnocht MD

NPI 1003842709 - Internal Medicine - 207R00000X

NPI Details
NPI 1003842709
Gender Male
Enumeration Date 06/24/2006
Last Updated 03/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
51 NORTH 39TH STREET
MAB, SUITE 102
PHILADELPHIA PA, 19104-2640, US
Phone (215) 662-9990
Fax (215) 243-3297
Business Location
51 NORTH 39TH STREET
MAB, SUITE 102
PHILADELPHIA PA, 19104-2640, US
Phone (215) 662-9990
Fax (215) 243-3297
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD058278L
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According to our database, Kevin M Fosnocht MD NPI is 1003842709, taxonomy code is 207R00000X and license number is MD058278L, license state is located at Pennsylvania. Kevin M Fosnocht MD physically located at 51 North 39th Street, Philadelphia PA, 19104-2640. NPI Number Kevin M Fosnocht MD has the Individual type.

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1003842709 NPI number is provided on an as is basis without warranty of any kind. 1003842709 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin M Fosnocht MD are for informational purposes only.