Individual
DR. ELIZABETH FABENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119-1114
(215) 242-5000
(215) 242-3951
Mailing address
345 E MOUNT AIRY AVE, PHILADELPHIA, PA 19119-1114
(215) 242-5000
(215) 242-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PAMD038072E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7014465-57
—
PA
Enumeration date
03/14/2006
Last updated
02/05/2010
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