Individual
MICHELLE SABRINA GORBONOSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
834 WALNUT ST, PHILADELPHIA, PA 19107-5109
(215) 955-1329
Mailing address
500 N 21ST ST, PHILADELPHIA, PA 19130-4267
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD484176
PA
Other
Enumeration date
03/24/2020
Last updated
09/24/2024
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