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Organization

FOGGY BOTTOM PRIMARY CARE PHYSICIANS LLC

Active
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Organization

FOGGY BOTTOM PRIMARY CARE PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD EVANS (VP)
(610) 382-4422
Entity
Organization

Contact information

Practice address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(610) 382-4422
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
10/24/2025
Last updated
10/24/2025
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