Individual
DR. JOHN B FOBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S 54TH ST, SUITE 227, PHILADELPHIA, PA 19143-1900
(215) 748-9653
(215) 748-9667
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD021128
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009005560005
—
PA
01
—
0052566000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1153304
KEYSTONE MERCY HEALTH PLA
PA
01
—
1544375
BLUE SHIELD
PA
01
—
2610919
AETNA HMO
PA
01
—
4100588
AETNA OTHER
PA
Enumeration date
10/25/2005
Last updated
10/23/2008
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