Individual
AVIVA MOVSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
125 MONTGOMERY AVE APT D1, BALA CYNWYD, PA 19004-2842
(248) 990-8286
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
SP027630
PA
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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