IndividualActive
Ivan Maillard, MD
NPI 1568403269 · Hematology (Internal Medicine) Physician · Philadelphia, PA
Provider details
- NPI number
- 1568403269
- Entity type
- Individual
- Primary specialty
- Hematology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD423465 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 615-0063
Fax: (215) 349-8144
Approximate (ZIP-level) locationGet directions
Mailing address
3400 Spruce St
Philadelphia, PA 19104-4238
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2019-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.