Dr GENNADIY IVANOV is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1997.
520 BUSTLETON PIKE
FEASTERVILLE TREVOSE
PA
190536052
Tel:
| Npi | 1861720815 |
| Pac Id | 6406997394 |
| Professional Enrollment Id | I20150323002040 |
| Last Name | IVANOV |
| First Name | GENNADIY |
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| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Line 1 Street Address | 520 BUSTLETON PIKE |
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| City | FEASTERVILLE TREVOSE |
| State | PA |
| Zip Code | 190536052 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390097 |
| Hospital Affiliation Lbn 1 | HOLY REDEEMER HOSPITAL AND MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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