Organization
FOOS OB/GYN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN COOKE FOOS MD (OWNER/OPERATOR)
(717) 724-3628
Entity
Organization
Contact information
Practice address
890 POPLAR CHURCH RD, SUITE 108, MEDICAL ARTS BUILDING, CAMP HILL, PA 17011-2250
(717) 724-3628
Mailing address
890 POPLAR CHURCH RD, SUITE 108, MEDICAL ARTS BUILDING, CAMP HILL, PA 17011-2250
(717) 724-3628
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD065010L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD065010L
MEDICAL LICENSE
—
Enumeration date
10/01/2010
Last updated
10/01/2010
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