Individual
DR. ANDREW ALEXANDER DENISENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT229560
PA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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