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Individual

ANGELA M ELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED, PHILADELPHIA, PA 19104-4319
(215) 590-1944
(215) 590-4454
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD426112
PA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD426112
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076678
NJ
05
101396758
PA
Enumeration date
07/19/2006
Last updated
04/16/2013
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