Individual
MARY ELIZABETH DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1177 N ROAD ST, ELIZABETH CITY, NC 27909-3388
(252) 384-2560
(252) 335-9997
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT216115
PA
Other
Enumeration date
06/13/2018
Last updated
08/28/2024
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