Individual
DR. MARK ANTHONY NOVITSKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3905 FORD RD, PHILADELPHIA, PA 19131
(215) 643-5400
Mailing address
3905 FORD RD, PHILADELPHIA, PA 19131
(215) 643-5400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT189340
PA
Other
Enumeration date
08/01/2008
Last updated
11/06/2012
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