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1447004940
VADYM SHAPOVALOV
BETHLEHEM, PA
NPI
1447004940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT230466)
Enumeration Date
2024-04-12
Last Update Date
2024-07-17
Business Address
MR. VADYM SHAPOVALOV M.D.
2545 SCHOENERSVILLE RD, 5TH FLOOR, RESIDENCY SUIT
BETHLEHEM, PA 18017
Phone number: 640-297-2926
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Mailing Address
MR. VADYM SHAPOVALOV M.D.
2545 SCHOENERSVILLE RD, 5TH FLOOR, RESIDENCY SUIT
BETHLEHEM, PA 18017
Phone number: 640-297-2926
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