Individual provider · Type 1 NPI

Mazell Tetruashvily, MD, PhD

Preventive Medicine/Occupational Environmental Medicine Physician · Philadelphia, PA

NPI number 1295225019 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238

Specialties and licenses

TaxonomyCodeLicense
Preventive Medicine/Occupational Environmental Medicine Physician Primary 2083P0500XMD480490 (PA)

Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

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About NPI 1295225019

Mazell Tetruashvily, MD, PhD's National Provider Identifier is 1295225019, issued on May 17, 2018. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 22, 2025.