Individual
BENJAMIN KOWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(610) 529-9045
Mailing address
1326 SPRUCE ST, APT 2104, PHILADELPHIA, PA 19107-5826
(610) 529-9045
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT206749
PA
Other
Enumeration date
04/24/2013
Last updated
11/03/2014
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