Individual
MALI HETMANIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIAC ANESTHESIOLOGY, PHILADELPHIA, PA 19104
(800) 879-2467
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC CARDIAC ANESTHESIOLOGY, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD60372031
WA
207LP3000X
Pediatric Anesthesiology Physician
DR.0064924
CO
207LP3000X
Pediatric Anesthesiology Physician
Primary
MT230480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851549604
—
WA
Enumeration date
09/05/2008
Last updated
05/31/2024
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