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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAN PATRICK MAILLARD, MD

Active

IVAN PATRICK MAILLARD, MD is a Hematology & Oncology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1568403269 is currently active in the NPPES registry. Verify at CMS.

Hematology & Oncology · PHILADELPHIA, PA

Registration Details

NPI Number
1568403269
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2006 (20.17281580149 yrs)
Last Updated
Sep 19, 2019
Licenses
MD423465 (PA)
MD423465 (PA)

Practice Information

Address
3400 SPRUCE ST
PHILADELPHIA, PA, 191044238
Browse PA providers · Browse ZIP 19104
Phone
2156150063
Fax
2153498144
Primary Specialty
Hematology & Oncology
207RH0000X
Additional Specialty
Hematology & Oncology

Other Hematology & Oncology Providers in PHILADELPHIA, PA

Name Credential NPI
LINDA A. HAEGELE M.D. 1669464327
RONALD N RUBIN MD 1639167489
MICHAEL E BROMBERG MD 1225026396
ANGARA KONETI RAO MBBS 1851380745
INGRID FOLLWEILER KOHUT DO 1225094212
SELINA LUGER MD 1447292982
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.