Individual
IGOR M YAMPOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 HANOVER AVE, ALLENTOWN, PA 18109-2408
(610) 740-3302
(610) 740-3413
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD425634
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014345360001
—
PA
01
—
1333007
HIGHMARK BLUE SHIELD
PA
01
—
50053669
CAPITAL BLUE CROSS
PA
Enumeration date
05/23/2006
Last updated
07/08/2007
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