Individual
BARUCH AVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
325 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19106-2614
(267) 322-7700
Mailing address
325 CHESTNUT ST, SUITE 210, PHILADELPHIA, PA 19106-2614
(267) 322-7700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN590421
PA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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