Innovative Medical Associates, LLC

NPI #1922422849 in Springfield, Pennsylvania

Provider Information

NPI Number: 1922422849
Entity Type: Organization
Organization Name: Innovative Medical Associates, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 12, 2014
Last Updated: Feb 12, 2014

Practice Location

Address: 400 BAILEYS RUN LN
City: Springfield
State: Pennsylvania
ZIP Code: 19064-2143
Phone: (610) 505-8350

Authorized Official

Name: KELLI YACONO, DO
Title: OWNER/PHYSICIAN
Phone: (610) 505-8350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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