Individual
ALEXANDRE VICTOR NOVIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2212
(610) 595-6467
Mailing address
175 E CHESTER PIKE, RIDLEY PARK, PA 19078-2212
(610) 595-6467
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
118609
MD
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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