Individual
IZABELLA DYAKOVETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
54 PROVIDENCE DR, RICHBORO, PA 18954-1660
(215) 718-8036
Mailing address
54 PROVIDENCE DR, RICHBORO, PA 18954-1660
(215) 718-8036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD066483L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01884662
—
PA
Enumeration date
07/21/2005
Last updated
04/12/2024
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