Individual
SEVERIN BOHDAN PALYDOWYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
396 ROUTE 6 AND 209 STE 1, MILFORD, PA 18337-9490
(570) 296-9696
(570) 409-0316
Mailing address
396 ROUTE 6 AND 209 STE 1, MILFORD, PA 18337-9490
(570) 296-9696
(570) 409-0316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
191941-1
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01406142 8
—
NY
01
—
080558
FIRST PRIORITY HEALTH 65
PA
01
—
0D5215
PHS
PA
01
—
1124972
UHC
PA
01
—
13950
GHI/HMO
PA
05
—
1404543
—
PA
01
—
15551
GEISINGER
PA
01
—
177141
MVP
PA
01
—
180015253
UHC/RAILROAD MEDICARE
PA
01
—
306039037
COALITION
PA
01
—
527007
AETNA USHC
PA
01
—
70H321
NY BLUESHIELD
PA
01
—
735048
PA BLUE SHIELD
PA
01
—
9784602
CIGNA
PA
01
—
OX144P
HIP OF NY
PA
01
—
P378882
OXFORD
PA
Enumeration date
06/01/2005
Last updated
12/16/2024
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