Individual
ILIA A. BRUSILOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9783
Mailing address
PO BOX 980695, RICHMOND, VA 23298-0695
(804) 828-9160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101247052
VA
Other
Enumeration date
06/16/2008
Last updated
06/19/2013
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