Individual
FAINA GUREVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 266-9919
Mailing address
203 STARDUST DR, JOHNSTOWN, PA 15904-3067
(814) 410-2941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD442440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
CT
Enumeration date
12/19/2007
Last updated
10/02/2014
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