Individual
MR. YURI PERSIDSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD., PHD.
Contact information
Practice address
3401 N BROAD ST, TEMPLE PATHOLOGY ASSOCIATES, PHILADELPHIA, PA 19140
(215) 707-4353
(215) 707-9580
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-4353
(215) 707-9580
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD434703
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557547
—
NE
Enumeration date
05/10/2006
Last updated
08/08/2018
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