Provider Demographics
NPI:1154010296
Name:SVYSTUN, ORYSYA (MD)
Entity type:Individual
Prefix:
First Name:ORYSYA
Middle Name:
Last Name:SVYSTUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET ABDOMINAL IMAGING AND
Mailing Address - Street 2:INTERVENTION DIVISION, MASS GENERAL BRIGHAM
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6304
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET ABDOMINAL IMAGING AND
Practice Address - Street 2:INTERVENTION DIVISION, MASS GENERAL BRIGHAM
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-12-07
Deactivation Date:2023-12-07
Deactivation Code:
Reactivation Date:2023-12-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program