Brenda R Van Fossen, MD

NPI #1073522587 in Liverpool, New York

Provider Information

NPI Number: 1073522587
Entity Type: Individual
Name: Brenda R Van Fossen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 5, 2006
Last Updated: Mar 22, 2018

Practice Location

Address: 7375 OSWEGO RD
City: Liverpool
State: New York
ZIP Code: 13090-3717
Phone: (315) 291-0064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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