Individual
FELIX VERSHVOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W GIRARD AVE, PHILA, PA 19130-1400
(215) 685-0800
(215) 685-0846
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 926-9010
(215) 226-8285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
247248
NY
207Q00000X
Family Medicine Physician
Primary
MD-433799
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102202545
—
PA
01
—
597586
MEDICARE GROUP
PA
01
—
CD4829
RR MEDICARE
PA
01
—
P00633382
RAILROAD MEDICARE
PA
Enumeration date
02/11/2008
Last updated
07/19/2011
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