Individual
DR. VYACHESLAV VILENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(844) 278-4680
(814) 235-1533
Mailing address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(844) 278-4680
(814) 235-1533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD466732
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD466732
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD466732
PA
Other
Enumeration date
06/18/2013
Last updated
07/01/2019
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