Provider Demographics
NPI:1265786131
Name:SLAVIN, DOROTHY A (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:A
Last Name:SLAVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 KEYSTONE AVE STE 506
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1133
Mailing Address - Country:US
Mailing Address - Phone:610-622-8900
Mailing Address - Fax:610-622-8904
Practice Address - Street 1:2100 KEYSTONE AVE STE 506
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1133
Practice Address - Country:US
Practice Address - Phone:610-622-8900
Practice Address - Fax:610-622-8904
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-051238-L207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease