Individual
DR. DANIEL YUSUPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2560-64 N HOPE ST., UNIT 3, PHILADELPHIA, PA 19133
(425) 533-4459
Mailing address
2560-64 N HOPE ST., UNIT 3, PHILADELPHIA, PA 19133
(425) 533-4459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT225638
PA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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