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Contact Information

ROBERT W KANOWITZ, DPM
12000 BUSTLETON AVENUE
PHILADELPHIA, PA19116
 Phone: 215-969-4006
 Fax: 610-645-6556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT W KANOWITZ · (Male)

NPI # 1205866464
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SC002241L
  • PA Medicaid 0697736
  • Other 0060731000 HMO ID
  • Other 2431298000 PRACTICE HMO ID
  • PA Other 2431298000 DECS CHOICE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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