Individual
DR. MARK ANTHONY NOVITSKY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 870-6689
(215) 542-7623
Mailing address
1110 ASHRIDGE CT, AMBLER, PA 19002-1821
(215) 870-6689
(215) 542-7623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA07602200
NJ
2084P0800X
Psychiatry Physician
Primary
MD-029856-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009589120003
—
PA
Enumeration date
02/03/2007
Last updated
07/09/2007
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