Individual
DR. EDMUND A. PRIBITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107-4204
(215) 955-6760
(215) 923-4532
Mailing address
925 CHESTNUT STREET, 6TH FLOOR, PHILADELPHIA, PA 19107-4204
(215) 955-6760
(215) 923-4532
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD-039732-E
PA
207YS0123X
Facial Plastic Surgery Physician
MD-039732-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001298487
—
PA
05
—
5625301
—
NJ
Enumeration date
07/15/2006
Last updated
10/23/2014
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