Individual
VIACHASLAU KOUSHYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-8589
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD470945
PA
390200000X
Student in an Organized Health Care Education/Training Program
0116032502
VA
Other
Enumeration date
03/27/2015
Last updated
10/06/2020
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