MEDICARE: PHILADELPHIA FERTILITY INSTITUTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician
2	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1811053556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILADELPHIA FERTILITY INSTITUTE

Provider Business Mailing Address
First Line	:	815 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5504
Country	:	US
Telephone Number	:	215-922-2206
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 LOCUST ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-5504
Country	:	US
Telephone Number	:	215-922-2206
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. BENJAMIN GOCIAL
Credential	:
Telephone Number	:	610-834-1230

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	09/11/2025

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