Individual
IGOR LOMAZOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 OFFICE CENTER DR, SUITE 195, FT WASHINGTON, PA 19034-3220
(215) 836-7900
(215) 836-7923
Mailing address
501 OFFICE CENTER DR, SUITE 195, FT WASHINGTON, PA 19034-3220
(215) 836-7900
(215) 836-7923
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD421026
PA
207ND0900X
Dermatopathology Physician
MD421026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01972602
—
PA
01
—
2213217000
KEYSTONE HP EAST
PA
01
—
3310054
AETNA
PA
Enumeration date
06/08/2005
Last updated
11/25/2007
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