Organization
LILIA GOROVITS MD PC
Active
Organization
LILIA GOROVITS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIA GOROVITS M.D (OWNER)
(215) 698-9295
Entity
Organization
Contact information
Practice address
9867 BUSTLETON AVE # B, PHILADELPHIA, PA 19115-2611
(215) 698-9295
Mailing address
9867 BUSTLETON AVE # B, PHILADELPHIA, PA 19115-2611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD061228L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016311300002
—
PA
Enumeration date
05/06/2013
Last updated
05/06/2013
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