Izabella Dyakovetsky in Richboro - Specialist

Izabella Dyakovetsky - NPI 1073512927

Izabella Dyakovetsky is a Specialist in Richboro, Pennsylvania. Izabella Dyakovetsky practices all healthcare services and medical treatments related to Specialist. The NPI Number for Izabella Dyakovetsky is 1073512927. The last update date is 2007-07-08.

Izabella Dyakovetsky's current location address is 54 Providence Dr, Richboro, Pennsylvania. You can contact this provider via phone number 2157188036. The mailing address for Izabella Dyakovetsky is 54 Providence Dr, Richboro, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Izabella Dyakovetsky
Address 54 Providence Dr, Richboro, Pennsylvania
Phone Number 2157188036
Fax Number
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1073512927
Provider Enumeration Date 2005-07-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 54 Providence Dr
City Richboro
State Pennsylvania (PA)
Post Code 189541660
Phone Number 2157188036
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD066483L
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1884662 PA --

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FAQs about Izabella Dyakovetsky

What is the unique 10-digit identification code issued to Izabella Dyakovetsky by the Centers for Medicare & Medicaid Services?

The Izabella Dyakovetsky has been assigned the NPI (National Provider Identifier) 1073512927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Izabella Dyakovetsky?

The Izabella Dyakovetsky is situated at 54 Providence Dr, in the city of Richboro, state of PA, with the zip code 189541660.

What is Izabella Dyakovetsky's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Izabella Dyakovetsky is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073512927 to Izabella Dyakovetsky?

The Centers for Medicare & Medicaid Services assigned the 1073512927 to Izabella Dyakovetsky on 2005-07-21.

As of what date were the details pertaining to Izabella Dyakovetsky last refreshed?

The information related to the Izabella Dyakovetsky, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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