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Individual

ALYSSA MARY YEAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(203) 688-4242
Mailing address
1349 N PALETHORP ST, PHILADELPHIA, PA 19122-4511
(856) 217-7165

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M470076
PA

Other

Enumeration date
05/16/2017
Last updated
07/21/2022
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