Individual
MR. VADYM SHAPOVALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 SCHOENERSVILLE RD, 5TH FLOOR, RESIDENCY SUIT, BETHLEHEM, PA 18017
(640) 297-2926
Mailing address
2545 SCHOENERSVILLE RD, 5TH FLOOR, RESIDENCY SUIT, BETHLEHEM, PA 18017
(640) 297-2926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT230466
PA
Other
Enumeration date
04/12/2024
Last updated
07/17/2024
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