Individual
DAVIDA KORNREICH KRUPNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1930 S BROAD ST STE 21, PHILADELPHIA, PA 19145-2328
(215) 463-3939
Mailing address
1930 S BROAD ST STE 21, PHILADELPHIA, PA 19145-2328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD464425
PA
Other
Enumeration date
05/17/2011
Last updated
09/01/2020
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