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Individual

DR. DEAN RICHARD FOCHT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6052
(570) 271-6002
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD436106
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023104170001
PA
Enumeration date
02/10/2006
Last updated
07/31/2020
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