Individual
EILENE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
(484) 526-5210
Mailing address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
06/04/2020
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