Individual
DR. IVY MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
570 EGG HARBOR RD STE B2, SEWELL, NJ 08080-2359
(856) 589-6673
Mailing address
5411 IRVING ST, PHILADELPHIA, PA 19139-4055
(267) 592-9939
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD478491
PA
Other
Enumeration date
03/20/2019
Last updated
07/02/2024
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