Individual
VALERIYA POUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-3040
(215) 707-8235
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(201) 707-3040
(215) 707-8235
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD441565
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2007
Last updated
08/27/2012
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