Organization
FAMILY MEDICAL SOCIETY A DIVISION OF WOMENS MEDICAL SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERMIT B GOSNELL MD (PRESIDENT)
(215) 382-4300
Entity
Organization
Contact information
Practice address
3801 05 LANCASTER AVE, PHILADELPHIA, PA 19104-2317
(215) 382-4300
(215) 382-3972
Mailing address
3801 05 LANCASTER AVE, PHILADELPHIA, PA 19104-2317
(215) 382-4300
(215) 382-3972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD009422E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD009422E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0544746
—
PA
Enumeration date
01/29/2007
Last updated
07/23/2008
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