Individual
ANTHONY E FODERARO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 LAWN AVE, BLDG 1, SELLERSVILLE, PA 18960-1575
(215) 257-5578
(215) 257-1350
Mailing address
711 LAWN AVE, BLDG 1, SELLERSVILLE, PA 18960-1575
(215) 257-5578
(215) 257-1350
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD038418E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133217
—
PA
Enumeration date
08/02/2005
Last updated
07/08/2007
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