Individual
DR. PETER CHARLES LOFASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1445
(215) 612-2691
Mailing address
10825 E KESWICK RD APT 169, PHILADELPHIA, PA 19154-4127
(607) 343-4655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9853
PA
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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