Individual
ELIZABETH PAIGE MACDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 395-8248
Mailing address
1235 N 5TH ST APT 2, PHILADELPHIA, PA 19122-4687
(610) 608-6480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP034568
PA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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