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1669632402
ILIA A. BRUSILOVSKY
RICHMOND, VA
NPI
1669632402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101247052)
Enumeration Date
2008-06-16
Last Update Date
2013-06-19
Business Address
-- ILIA A. BRUSILOVSKY MD
1250 E MARSHALL ST
RICHMOND, VA 23298-5051
Phone number: 804-828-9783
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Mailing Address
-- ILIA A. BRUSILOVSKY MD
PO BOX 980695
RICHMOND, VA 23298-0695
Phone number: 804-828-9160
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