Individual
ISABELLA SOSNOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8220 CASTOR AVE, PHILA, PA 19152-2729
(215) 728-4550
(215) 728-4559
Mailing address
8220 CASTOR AVE, PHILA, PA 19152-2729
(215) 728-4550
(215) 728-4559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD062626L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017096800001
—
PA
01
—
MD062626L
LICENSE NUMBER
PA
Enumeration date
05/16/2006
Last updated
12/11/2007
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