Igor Kukelyansky M.D.

NPI 1194144733 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1194144733
Gender Male
Enumeration Date 04/10/2014
Last Updated 04/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3400 SPRUCE ST
DEPT. OF EM, GROUND FLOOR RAVDIN
PHILADELPHIA PA, 19104-4238, US
Phone (215) 662-6305
Fax (215) 662-2875
Business Location
1111 LOCUST ST UNIT 3L
PHILADELPHIA PA, 19107-5870, US
Phone (443) 722-9840
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Igor Kukelyansky M.D. NPI is 1194144733, taxonomy code is 390200000X Igor Kukelyansky M.D. physically located at 3400 Spruce St, Philadelphia PA, 19104-4238. NPI Number Igor Kukelyansky M.D. has the Individual type.

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1194144733 NPI number is provided on an as is basis without warranty of any kind. 1194144733 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Kukelyansky M.D. are for informational purposes only.