Individual
ELANA I. DEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6200
(215) 456-6227
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD453340
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT194939
PA
Other
Enumeration date
10/26/2009
Last updated
11/06/2020
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