Individual
DR. ELLEN DELEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 ELWYN RD, MEDICAL SUITE, ELWYN, PA 19063-4622
(610) 891-7317
(610) 891-2111
Mailing address
111 ELWYN RD, MEDICAL SUITE, ELWYN, PA 19063-4622
(610) 891-7317
(610) 891-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD422949
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD422949
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
01/16/2006
Last updated
06/01/2009
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