Individual
ELIZAVETA ALEKSANDROVNA BELYAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-7214
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-7214
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT201633
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT201633
PA
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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