Individual
MS. BELLA YAMPOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2131
Mailing address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002635L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA002635L
LICENSE NUMBER
PA
Enumeration date
11/11/2008
Last updated
11/11/2008
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