Individual
HRISI GUEORGUIEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1178
(215) 762-7000
Mailing address
10 SHURS LN STE 301, PHILADELPHIA, PA 19127-2123
(215) 967-1632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT218448
PA
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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