Individual
JENEEN ELAGHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
148 N 8TH ST, PHILADELPHIA, PA 19107-2418
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007483
PA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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