Individual
BORIS NEMIROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9892 BUSTLETON AVE, STE 206, PHILADELPHIA, PA 19115-2139
(215) 698-2220
(215) 464-1808
Mailing address
PO BOX 52036, PHILADELPHIA, PA 19115-7036
(215) 698-2220
(215) 464-1808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
032418E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010005980001
DPA
—
05
—
0010005980001
—
PA
01
—
0058439000
KHPE KH65 AMERIHEALTH HMO
—
01
—
0100059801
AMERICHOICE
—
01
—
0876682
AETNA HMO GROUP PIN
—
01
—
090307
MEDICARE GROUP
—
01
—
098916T50
MEDICARE PIN
—
01
—
1013277410001
DPA GROUP
—
01
—
1048941
KEYSTONE MERCY
—
01
—
1702545
HIGHMARK BCBS GROUP
—
01
—
232610603
CIGNA
—
01
—
2374620000
KHPE KH65 AMERIHEALTH HMO
—
01
—
249697
HEALTHNET
—
01
—
5444501
AETNA PPO GROUP PIN
—
01
—
98916
HIGHMARCK BCBS PIN
—
01
—
P11221508
MULTIPLAN HEALTH EOS
—
01
—
P2784771
OXFORD HEALTH PLAN
—
Enumeration date
08/31/2006
Last updated
01/06/2020
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