Individual
DR. DONGFANG DIANA YIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1445 CITY LINE AVE, SUITE 5, WYNNEWOOD, PA 19096-3831
(215) 473-8889
Mailing address
1445 CITY AVE STE 5, WYNNEWOOD, PA 19096-3831
(610) 910-3889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-066380-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001722584
—
PA
05
—
8011800
—
NJ
Enumeration date
07/17/2006
Last updated
09/30/2012
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