Individual
DR. ITAI LOUSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-1222
Mailing address
1000 WALNUT ST APT 1513, PHILADELPHIA, PA 19107-5848
(267) 379-5643
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
LT000893
PA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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