Provider Demographics
NPI:1417498999
Name:IVASHCHUK, ALINA (DO)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:IVASHCHUK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9200
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:690 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3700
Practice Address - Fax:717-544-3371
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2020-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT0176372080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine