Individual
ASIF M ILYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 OLD LANCASTER RD STE 100, BRYN MAWR, PA 19010-3234
(267) 339-3558
(267) 339-3763
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA08912300
NJ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD422003
PA
Other
Enumeration date
05/26/2006
Last updated
02/22/2022
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