Search › Pennsylvania › 207V00000X
Gennadiy Ivanov, M.D
NPI 1861720815 · on the registry since 2009
Practice
- Address
- 520 Bustleton Pike
Feasterville Trevose, PA 19053 - Phone
- (215) 631-3873
- Fax
- (215) 631-3899
- Organisation at this address
- We Care Medical Group Pc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1155 East Mountain Blvd., Wilkes-Barre, PA
- 1203 Langhorne Newtown Rd Ste 226, Langhorne, PA
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania