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Individual

IVAN DENKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 744-1302
(215) 744-2544
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 710754
NY
163W00000X
Registered Nurse
26NR17659800
NJ
163W00000X
Registered Nurse
RN663483
PA
363LF0000X
Family Nurse Practitioner
33 340355
NY
363LF0000X
Family Nurse Practitioner
Primary
SP015880
PA

Other

Enumeration date
02/09/2016
Last updated
02/09/2016
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