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Individual

DR. LARISSA T. BILANIUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-7000
(215) 590-9348
Mailing address
100 E PENN SQ 9TH FLOOR, RACH, PHILADELPHIA, PA 19107-4319
(267) 425-9200
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD009226E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006953930001
PA
Enumeration date
05/11/2006
Last updated
10/26/2017
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