Individual
DR. LARISA KHALUPSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
404 BELLOWS LN, FEASTERVILLE TREVOSE, PA 19053-7840
(215) 322-6708
Mailing address
404 BELLOWS LN, FEASTERVILLE TREVOSE, PA 19053-7840
(215) 322-6708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDO37449-E
PA
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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