Individual
KATSIARYNA PAULOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S FRONT ST, BRADY 9TH FLOOR ATTN: VANESSA JORDAN, HARRISBURG, PA 17104-1619
(717) 231-8755
Mailing address
PO BOX 8700, HARRISBURG, PA 17105-8700
(717) 231-8755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD473864
PA
208600000X
Surgery Physician
Primary
MT211733
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
07/13/2016
Last updated
06/26/2023
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