Individual
VANESSA AYUMI LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 508, PHILADELPHIA, PA 19114-1025
(215) 464-7400
(215) 464-8680
Mailing address
9501 ROOSEVELT BLVD, SUITE 508, PHILADELPHIA, PA 19114-1025
(215) 464-7400
(215) 464-8680
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A101617
CA
207N00000X
Dermatology Physician
Primary
MD439500
PA
Other
Enumeration date
03/02/2008
Last updated
08/18/2010
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