Pavlenko, Andriy
Pavlenko, Andriy is an individual health care provider with primary practice located at 2201 Chapel Ave W , Cherry Hill NJ 08002-2048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pavlenko, Andriy can be contacted via phone (856) 488-6560.Contact Information
Primary practice address
2201 Chapel Ave W
Cherry Hill NJ 08002-2048
Phone: (856) 488-6560
Fax: (856) 488-6846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MA08321600 | New Jersey |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 244058 | New York |
Profile Details
| NPI number | 1932347440 |
|---|---|
| LBN Legal business name | Pavlenko, Andriy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2009 |
| Last updated | Apr 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932347440 | NPPES |
| New Jersey | MEDICAID | 0201529 | |
| New Jersey | Other | P00755920 |
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