Individual
ULYANA TRYTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1605 N CEDAR CREST BLVD STE 605, ALLENTOWN, PA 18104-2351
(610) 820-9000
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
25MA10849200
NJ
207K00000X
Allergy & Immunology Physician
MD483941
PA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD483941
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743356
—
NJ
01
—
1F4604
MEDICARE PTAN
NJ
Enumeration date
09/26/2016
Last updated
11/14/2024
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