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Individual

DR. ELISABETH A. HASSLACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
117 CLWYD RD, BALA CYNWYD, PA 19004-2302
(610) 664-6583
(610) 664-6583
Mailing address
117 CLWYD RD, BALA CYNWYD, PA 19004-2302
(610) 664-6583
(610) 664-6583

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD047173L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1577877
PA
Enumeration date
05/17/2007
Last updated
07/08/2007
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