Individual
JOANNA MELISSA ESTRADA YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6500
Mailing address
1229 CHESTNUT ST APT 524, PHILADELPHIA, PA 19107-4124
(765) 434-3417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT213173
PA
Other
Enumeration date
07/13/2017
Last updated
09/08/2017
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