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Individual

ANDRE KONSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BLVD, PERELMAN CENTER FOR ADVANCED MEDICINE, TRC 2 WEST, PHILADELPHIA, PA 19104
(215) 662-2428
Mailing address
3400 CIVIC CENTER BLVD, PERELMAN CENTER FOR ADVANCED MEDICINE, TRC 2 WEST, PHILADELPHIA, PA 19104
(215) 662-2428

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD418759
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019013330001
PA
Enumeration date
07/16/2006
Last updated
12/06/2013
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