Individual
ELEANOR AINSLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PATIENT AND FAMILY SERVICES, 1ST FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104-5127
(215) 615-0534
Mailing address
3400 CIVIC CENTER BLVD, PATIENT AND FAMILY SERVICES, 1ST FLOOR, WEST PAVILION, PHILADELPHIA, PA 19104-5127
(215) 615-0534
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD443482
PA
Other
Enumeration date
07/11/2008
Last updated
08/09/2013
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