Individual
MRS. SOPHIA S VINOGRADOVF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9150 MARSHALL ST, PHILADELPHIA, PA 19114-2217
(215) 698-1442
Mailing address
31 BELLWOOD DR, UPPER HOLLAND, PA 19053-7216
(215) 364-4530
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD034440I
PA
Other
Enumeration date
04/16/2006
Last updated
07/08/2007
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