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Eugene Dyakovetsky Md. Llc
Medical Specialty Clinic/Center in Southampton, Pennsylvania
NPI 1942460753

Eugene Dyakovetsky Md. Llc is a Medical Specialty Clinic/Center based in Southampton, PA and is specialized in Medical Specialty. Eugene Dyakovetsky Md. Llc practices in Southampton, PA. The NPI Number for Eugene Dyakovetsky Md. Llc is 1942460753 and holds a License No. (Pennsylvania).

The current practice location address for Eugene Dyakovetsky Md. Llc is 201 Lakeside Park, Southampton, PA and can be reached out via phone at 215-322-1058 and via fax at 215-322-1059.

Location: 201 Lakeside Park, Southampton, PA, 18966-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942460753
Provider Name
Eugene Dyakovetsky Md. Llc
Credential
Provider Entity Type
Organization
Address
201 Lakeside Park, Southampton, PA, 18966-4049
Phone Number
215-322-1058
Fax Number
215-322-1059
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 Lakeside Park
City
Southampton
State
Pennsylvania
Zip
18966-4049
Phone Number
215-322-1058
Fax Number
215-322-1059
person
Provider Business Mailing Address Details
Address
201 Lakeside Park
City
Southampton
State
Pennsylvania
Zip
18966-4049
Phone Number
215-322-1058
Fax Number
215-322-1059
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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