Yevgeniy Latyshev M.D

NPI 1225342439 - Internal Medicine - 207R00000X

NPI Details
NPI 1225342439
Gender Male
Enumeration Date 07/29/2010
Last Updated 07/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
230 N BROAD ST
PHILADELPHIA PA, 19102-1121, US
Phone (215) 762-2612
Fax
Business Location
496 N 19TH ST
PHILADELPHIA PA, 19130-3836, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MT196752
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According to our database, Yevgeniy Latyshev M.D NPI is 1225342439, taxonomy code is 207R00000X and license number is MT196752, license state is located at Pennsylvania. Yevgeniy Latyshev M.D physically located at 230 N Broad St, Philadelphia PA, 19102-1121. NPI Number Yevgeniy Latyshev M.D has the Individual type.

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1225342439 NPI number is provided on an as is basis without warranty of any kind. 1225342439 is maintained by the National Plan & Provider Enumeration System. The contents of Yevgeniy Latyshev M.D are for informational purposes only.