Individual
PHILIP ELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 REED AVE STE 300, WYOMISSING, PA 19610-2002
(610) 374-4401
(610) 374-7916
Mailing address
1011 REED AVE STE 300, WYOMISSING, PA 19610-2002
(610) 374-4401
(610) 374-7916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS016401
PA
207RG0100X
Gastroenterology Physician
Primary
OS016401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029342510002
—
PA
Enumeration date
07/17/2012
Last updated
01/29/2018
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