Individual
ALEXANDER KUTIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 214-1734
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-6900
(215) 214-1734
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD430416
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10219876-0001
—
PA
Enumeration date
12/29/2006
Last updated
04/17/2018
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