Inna Polyakov MD

NPI 1063640019 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1063640019
Gender Female
Enumeration Date 06/29/2009
Last Updated 06/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1200 WALNUT ST APT 505
PHILADELPHIA PA, 19107-5449, US
Phone (757) 636-6067
Fax
Business Location
1200 WALNUT ST APT 505
PHILADELPHIA PA, 19107-5449, US
Phone (757) 636-6067
Fax
Toxanomy
Taxonomy Code 390200000X
License State Pennsylvania
License Number 195244
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According to our database, Dr. Inna Polyakov MD NPI is 1063640019, taxonomy code is 390200000X and license number is 195244, license state is located at Pennsylvania. Inna Polyakov MD physically located at 1200 Walnut St Apt 505, Philadelphia PA, 19107-5449. NPI Number Inna Polyakov MD has the Individual type.

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1063640019 NPI number is provided on an as is basis without warranty of any kind. 1063640019 is maintained by the National Plan & Provider Enumeration System. The contents of Inna Polyakov MD are for informational purposes only.