Individual
DR. WARREN KOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
702 FAYETTE ST, CONSHOHOCKEN, PA 19428-1707
(610) 825-1690
(610) 825-1691
Mailing address
702 FAYETTE ST, CONSHOHOCKEN, PA 19428-1707
(610) 825-1690
(610) 825-1691
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002242L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048258000
HMO
—
01
—
154503
HIGHMARK BLUE SHIELD
—
Enumeration date
05/22/2006
Last updated
07/13/2010
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