Individual
DR. FRED GORSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 LOCUST ST, SUITE 521, PHILADELPHIA, PA 19107-6731
(215) 503-7822
(215) 503-4817
Mailing address
615 CHESTNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD054597L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001201030
—
PA
05
—
4556607
—
NJ
Enumeration date
08/03/2006
Last updated
08/11/2011
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