Individual
LYDIA T KOMARNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
216 N BROAD ST, PHILADELPHIA, PA 19102
(215) 255-7822
(215) 255-7825
Mailing address
216 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD029146E
PA
Other
Enumeration date
04/25/2006
Last updated
08/08/2019
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