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VALENTIN ILIVITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD425312
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011798090001
MD
Enumeration date
06/10/2006
Last updated
02/22/2011
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