Individual
ESTELA A BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4900 WYALUSING AVE, PHILADELPHIA, PA 19131-5127
(215) 473-7033
(215) 878-9199
Mailing address
4900 WYALUSING AVE, PHILADELPHIA, PA 19131-5127
(215) 921-3713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10531
OK
2084P0800X
Psychiatry Physician
14142
KS
2084P0800X
Psychiatry Physician
24141
CO
2084P0800X
Psychiatry Physician
H7122
TX
2084P0800X
Psychiatry Physician
Primary
MD448067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123161501
—
TX
Enumeration date
12/12/2006
Last updated
03/07/2019
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