Individual
RICHARD KANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 LANSDOWNE AVE, SUITE 308 MOB, DARBY, PA 19023-1200
(610) 534-6142
(610) 534-6130
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
OS003560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008884240004
—
PA
01
—
0052240000
KEYSTONE HEALTH PLAN EAST
PA
01
—
0100215
CIGNA
PA
01
—
148829
BLUE SHIELD
PA
01
—
2610873
AETNA HMO
PA
01
—
322006
KMHP
PA
01
—
4595900
AETNA PPO
PA
Enumeration date
11/10/2005
Last updated
05/09/2008
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