Individual
GENNADY VITORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 OLD YORK ROAD, SUITE 301, ABINGTON, PA 19001
(215) 481-2337
Mailing address
722 MEARNS ROAD, WARMINSTER, PA 18974
(215) 481-2337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
91549
PA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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