Individual
ELIZABETH A BUSHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1991 SPROUL RD STE 600, BROOMALL, PA 19008-3517
(484) 565-1293
Mailing address
1991 SPROUL RD STE 600, BROOMALL, PA 19008-3517
(484) 565-1293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD059814L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016437110002
—
PA
Enumeration date
07/11/2006
Last updated
07/14/2021
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