Individual
KOSUKE IZUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHCA GENETICS, PHILADELPHIA, PA 19104-4319
(215) 590-2920
(215) 590-3298
Mailing address
100 PENN SQUARE EAST, 9TH FL NORTH TOWER, CHCA GENETICS, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
MD442257
PA
208000000X
Pediatrics Physician
Primary
U1686
TX
Other
Enumeration date
06/28/2007
Last updated
06/27/2023
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