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Individual

DR. MICHAEL TIMOTHY KRYSHTALSKYJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
123 BLOOMINGDALE AVE., SUITE 102, WAYNE, PA 19087
(610) 687-8771
(610) 687-8773
Mailing address
123 BLOOMINGDALE AVE., SUITE 102, WAYNE, PA 19087
(647) 938-4450

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA12621700
NJ
207W00000X
Ophthalmology Physician
C1-0028100
DE
207W00000X
Ophthalmology Physician
Primary
MD489386
PA

Other

Enumeration date
06/06/2025
Last updated
11/26/2025
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