Provider Demographics
NPI:1659636793
Name:TOMETY-FOTZEU, JOSETTE A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:A
Last Name:TOMETY-FOTZEU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOSETTE
Other - Middle Name:A
Other - Last Name:FOTZEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:630 JAMIE CIR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1976
Mailing Address - Country:US
Mailing Address - Phone:240-603-9098
Mailing Address - Fax:
Practice Address - Street 1:630 JAMIE CIR
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1976
Practice Address - Country:US
Practice Address - Phone:484-522-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-04
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18629183500000X, 1835G0303X
PARP4425531835G0303X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric