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Individual

DR. ILYA BRAGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
(484) 526-5237
Mailing address
1616 BEST PL, BETHLEHEM, PA 18017-3276
(484) 526-5210
(484) 526-5237

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
274800
NY
2084N0400X
Neurology Physician
MD454784
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
MD454784
PA

Other

Enumeration date
06/10/2010
Last updated
04/21/2017
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