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Kevin Fosnocht MD NPI 1003842709

Classification
Internal Medicine
Type
License No.
MD058278L
License State
PA
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: G35580
Type: MEDICARE UPIN (02)
State:
Identifier: 0015950980002
Type: MEDICAID (05)
State: PA
Identifier: 879646
Type: MEDICARE PIN (08)
State: PA

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
51 NORTH 39TH STREET, PHILADELPHIA, PA, 191042640
Business Phone
215-662-9990
Mailing Address
51 NORTH 39TH STREET, PHILADELPHIA, PA, 191042640
Mailing Phone
215-662-9990
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