SAMUEL J IVAN

PHILADELPHIA, PA
NPI1902366222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: PA  MD485277)
Additional Taxonomies208800000X Urology
(Licence: NC  250301)
Enumeration Date2019-03-22
Last Update Date2024-08-19
Business Address
SAMUEL J IVAN MD
333 COTTMAN AVE
PHILADELPHIA, PA 19111-2434
Phone number: 215-728-6900
Mailing Address
SAMUEL J IVAN MD
2222 SHERWOOD AVE APT 32
TOLEDO, OH 43614-4363
Phone number: 419-708-3980
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