Individual
DR. ROBERT WILLIAM KANOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12000 BUSTLETON AVENUE, PHILADELPHIA, PA 19116
(215) 969-4006
(610) 645-6556
Mailing address
418 REDLEAF ROAD, WYNNEWOOD, PA 19096
(215) 969-4006
(610) 645-6556
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002241L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060731000
HMO ID
—
05
—
0697736
—
PA
01
—
2431298000
DECS CHOICE
PA
01
—
2431298000
PRACTICE HMO ID
—
Enumeration date
07/04/2006
Last updated
07/08/2007
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