MAZELL TETRUASHVILY

PHILADELPHIA, PA
NPI1295225019
Other NameMAZELL TETRUASHVILY WINIKOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine
(Licence: PA  MD480490)
Enumeration Date2018-05-17
Last Update Date2025-01-22
Business Address
MAZELL TETRUASHVILY MD, PhD
3900 WOODLAND AVE
PHILADELPHIA, PA 19104-4551
Phone number: 215-823-5888
Mailing Address
MAZELL TETRUASHVILY MD, PhD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-9664