Individual
DR. MARK KRITCHEVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCSD MEDICAL CENTER, 200 WEST ARBOR DRIVE MC 8201, SAN DIEGO, CA 92103-8201
(858) 657-8540
(619) 543-3183
Mailing address
VA MEDICAL CENTER 3350 LA JOLLA VILLAGE DRIVE (912, SAN DIEGO, CA 92161-0001
(858) 642-3685
(858) 552-7513
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G38155
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G381550
—
CA
Enumeration date
06/07/2006
Last updated
07/08/2007
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