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IVANA JILLIAN CREISSTOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5325 NORTHGATE DR STE 200, BETHLEHEM, PA 18017-9413
(484) 222-4646
Mailing address
5325 NORTHGATE DR STE 200, BETHLEHEM, PA 18017-9413
(484) 222-4646

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0110-008207
VA
363A00000X
Physician Assistant
Primary
MA066354
PA

Other

Enumeration date
11/16/2021
Last updated
03/06/2025
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