Individual
MR. FABIAN NIKOLAUS KOENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
(215) 662-7659
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
09/18/2024
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