Individual
ACHINTYA MOULICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5109
(215) 427-3860
Mailing address
3601 A STREET, PHILADELPHIA, PA 19134-1095
(215) 427-5109
(215) 427-3860
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD035499
DC
Other
Enumeration date
10/23/2006
Last updated
09/11/2009
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