Individual
ALLA ULITSKY WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2100
(215) 938-3908
Mailing address
PO BOX 8500-4081, PHILADELPHIA, PA 19178-4081
(215) 856-1010
(215) 856-1141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015954
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102735900 0008
—
PA
Enumeration date
05/25/2010
Last updated
04/01/2016
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