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Individual

DR. VADIM BORISOVICH IOSELEVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2190 AZALEA CIR, DECATUR, GA 30033-2642
(781) 354-3886

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77193
GA
207L00000X
Anesthesiology Physician
P7286
TX

Other

Enumeration date
04/28/2008
Last updated
04/14/2025
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