# FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174669311
- **Authorized official:** DR. KERMIT B GOSNELL MD (PRESIDENT)
- **Authorized official phone:** (215) 382-4300

## Contact information

- **Practice address:** 3801 05 LANCASTER AVE, PHILADELPHIA, PA 19104-2317
- **Practice address phone:** (215) 382-4300
- **Practice address fax:** (215) 382-3972
- **Mailing address:** 3801 05 LANCASTER AVE, PHILADELPHIA, PA 19104-2317
- **Mailing address phone:** (215) 382-4300
- **Mailing address fax:** (215) 382-3972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD009422E | PA | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD009422E | PA | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 07/23/2008