Individual
DAVID J SEVITSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2813 COTTMAN AVENUE, PHILADELPHIA, PA 19149-1421
(215) 332-9666
(215) 332-1436
Mailing address
2813 COTTMAN AVENUE, PHILADELPHIA, PA 19149-1421
(215) 332-9666
(215) 332-1436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005347L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058527000
KEYSTONE PROVIDER NUMBER
PA
01
—
4076253
AETNA PROVIDER NUMBER
PA
Enumeration date
06/15/2006
Last updated
03/20/2014
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