Individual
ELISE PAQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 ARCH ST LOWR LEVEL, PHILADELPHIA, PA 19102-1525
(215) 309-5225
Mailing address
2144 CECIL B MOORE AVE, PHILADELPHIA, PA 19121-4014
(215) 320-6187
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD474561
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2023
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