Individual
PHILLIP MATTHEW KOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 POWELL ST, SUITE 100, NORRISTOWN, PA 19401-3353
(610) 272-3030
(610) 279-6208
Mailing address
1330 POWELL ST, SUITE 100, NORRISTOWN, PA 19401-3353
(610) 272-3030
(610) 279-6208
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD-033961-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012103800002
—
PA
01
—
48466
KEYSTONE MERCY
PA
Enumeration date
06/06/2006
Last updated
11/23/2007
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