Individual
DR. BEVERLY AIYANYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3948
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
288928
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MT224906
PA
Other
Enumeration date
03/04/2015
Last updated
06/23/2022
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