Individual
AVRON ABE SLUTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6401 POPLAR AVENUE, #400, MEMPHIS, TN 38119
(901) 525-3086
(901) 969-1113
Mailing address
PO BOX 1000, DEPT 978, MEMPHIS, TN 38148
(901) 756-5565
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3649784
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116924
—
TN
01
—
4008189
BLUE CROSS OF TN
TN
01
—
4031622
AETNA
TN
Enumeration date
07/05/2005
Last updated
02/15/2012
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