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Individual

ALINA SHEVCHENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1316 WEST ONTARIO STREET, PHILADELPHIA, PA 19140-5220
(215) 707-3376
(215) 707-9510
Mailing address
3500 NORTH BROAD STREET ROOM 001A, PHILADELPHIA, PA 19140-4106
(215) 926-9022

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD477049
PA
207R00000X
Internal Medicine Physician
MT215458
PA

Other

Enumeration date
06/11/2018
Last updated
07/12/2022
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