Individual
DR. PAMELA MARIE ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 COMMERCE DR, WYOMISSING, PA 19610
(610) 320-0200
(610) 320-9962
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610
(610) 320-0200
(610) 320-9962
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD048525L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01167101
CAPITAL
PA
01
—
EL963864
HIGHMARK
PA
Enumeration date
01/16/2007
Last updated
07/08/2007
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