| Doctor Name: | ILYA M AVERBUCH |
| NPI Number: | 1316920358 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD032400E |
| Business Practice Address: | 2 Park Ln Suite 102 Feasterville Trevose, PA - 190536004 |
| Business Phone Number: | 2152401225 |
| Business Fax Number: | |
| Mailing Address: | Po Box 11535, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191160535 |
| Phone Number: | 2159539595 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | MD032400E |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |