Individual
MRS. INESSA G. BINIAURISHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11685-C BUSTLETON AVE., PHILADELPHIA, PA 19116-2542
(215) 464-7820
(215) 464-7808
Mailing address
11685-C BUSTLETON AVE., PHILADELPHIA, PA 19116-2542
(215) 464-7820
(215) 464-7808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD061863-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016575930004
—
PA
Enumeration date
10/02/2006
Last updated
02/16/2010
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