Individual
DON KOENIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 S BROAD ST, PHILADELPHIA, PA 19145-3948
(215) 467-7212
(215) 467-7216
Mailing address
2222 S BROAD ST, PHILADELPHIA, PA 19145-3948
(215) 467-7212
(215) 467-7216
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS004701L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS004701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933913
—
PA
Enumeration date
09/30/2005
Last updated
07/21/2022
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