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Organization
WOODWARD INTERNAL MEDICINE, INC.
Active
Organization
WOODWARD INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA YACHMENYOVA MD (OWNER)
(215) 671-9003
Entity
Organization
Contact information
Practice address
2375 WOODWARD ST, SUITE 115, PHILADELPHIA, PA 19115-5120
(215) 671-9003
(215) 671-9004
Mailing address
2375 WOODWARD ST, SUITE 115, PHILADELPHIA, PA 19115-5120
(215) 671-9003
(215) 671-9004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD061999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017308530001
—
PA
Enumeration date
07/18/2006
Last updated
10/23/2007
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