Individual
IRINA YERMILOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3043 WALTON RD, SUITE 150, PLYMOUTH MEETING, PA 19462-2389
(310) 245-9525
Mailing address
3043 WALTON RD, SUITE 150, PLYMOUTH MEETING, PA 19462-2389
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A95393
CA
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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