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NPI Code Detail

MEDICARE: VLADIMIR ZAGREBELSKY M.D.

MEDICARE: VLADIMIR ZAGREBELSKY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD421961PA
2207R00000XInternal Medicine PhysicianMD421961PA

General Provider Information

NPI Number : 1346287000
Entity Type Code : Individual
Provider Name (Legal Business Name) : VLADIMIR ZAGREBELSKY M.D.
Provider Business Mailing Address
First Line : 6950 GERMANTOWN AVE
Second Line : NEW COURTLAND LIFE
City : PHILADELPHIA
State : PA
Zip : 19119-2120
Country : US
Telephone Number : 215-951-4400
Fax Number : 215-951-4484
Provider Business Practice Location Address
First Line : 6950 GERMANTOWN AVE
Second Line : NEW COURTLAND LIFE
City : PHILADELPHIA
State : PA
Zip : 19119-2120
Country : US
Telephone Number : 215-951-4400
Fax Number : 215-951-4484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 09/25/2015

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