Individual
TRUDIE JANE ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5500
Mailing address
27 SPRING DELL RD, LANCASTER, PA 17601-5531
(717) 397-6797
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS003746L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100843265
—
PA
Enumeration date
05/12/2006
Last updated
09/20/2024
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