Individual
KATHERINE RADVANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 710-3783
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 710-3783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS017696
PA
208M00000X
Hospitalist Physician
OS017696
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT014505
PA
Other
Enumeration date
06/01/2012
Last updated
05/18/2017
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