Individual
SERGEY ZHITNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, ACP 11, SUITE 326, CHESTER, PA 19013-3902
(610) 619-8450
(610) 619-8451
Mailing address
ONE MEDICAL CENTER BLVD, POB 11, SUITE 326, UPLAND, PA 19013-3901
(610) 619-8450
(610) 619-8451
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
044063
CT
208600000X
Surgery Physician
Primary
MD450442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044063
CONNECTICARE
CT
01
—
1207285
AETNA - HMO
CT
01
—
2V7418
HEALTH NET
CT
01
—
560H71
EMPIRE BC/BS
CT
01
—
7370741
AETNA - PPO
CT
01
—
9386052
CIGNA
CT
Enumeration date
06/25/2006
Last updated
03/19/2025
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