Igor Stavitsky M.D.

NPI 1023094471 - Emergency Medicine - 207P00000X

NPI Details
NPI 1023094471
Gender Male
Enumeration Date 12/19/2005
Last Updated 07/18/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 GENERAL ST
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT..
LAWRENCE MA, 01841-2961, US
Phone (978) 683-4000
Fax (978) 946-8017
Business Location
1 GENERAL ST
ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT..
LAWRENCE MA, 01841-2961, US
Phone (978) 683-4000
Fax (978) 946-8017
Toxanomy
Taxonomy Code 207P00000X
License State Massachusetts
License Number 77664
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According to our database, Dr. Igor Stavitsky M.D. NPI is 1023094471, taxonomy code is 207P00000X and license number is 77664, license state is located at Massachusetts. Igor Stavitsky M.D. physically located at 1 General St, Lawrence MA, 01841-2961. NPI Number Igor Stavitsky M.D. has the Individual type.

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1023094471 NPI number is provided on an as is basis without warranty of any kind. 1023094471 is maintained by the National Plan & Provider Enumeration System. The contents of Igor Stavitsky M.D. are for informational purposes only.