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General NPI Number Information
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NPI Number | 1306843800
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Entity Type | Individual
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Provider Name | REGINALD DARNELL FOY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 520 S 19TH ST STE 1B
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1449
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Country | US
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Telephone | 215-545-4173
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Fax | 215-545-1543
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Provider Business Mailing Address
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Address Line | 520 S 19TH ST STE 1B
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City | PHILADELPHIA
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State | PA
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Zip | 19146-1449
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Country | US
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Telephone | 215-545-4173
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Fax | 215-545-1543
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD422462
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License Number State | PA
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