Individual
DR. ELIZABETH GANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1427 VINE ST FL 2, PHILADELPHIA, PA 19102-1031
(215) 762-2530
(215) 762-2531
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446684
PA
207RI0200X
Infectious Disease Physician
Primary
MD446684
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102835950
—
PA
Enumeration date
06/23/2010
Last updated
02/14/2019
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