Individual
DR. JOHN HENRY IGNATIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(617) 699-9055
Mailing address
2031 S BROAD ST, PHILADELPHIA, PA 19148-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD478166
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
12/12/2022
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