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Individual

DR. WILLARD STEIN KASOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-7200
(215) 707-3831
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
48925
AZ
207T00000X
Neurological Surgery Physician
Primary
MD475645
PA

Other

Enumeration date
01/10/2008
Last updated
10/07/2021
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