Individual
ELINA AMVROSIADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 W CHEW ST, ALLENTOWN, PA 18102-3434
(610) 776-4983
Mailing address
450 W CHEW ST, ALLENTOWN, PA 18102-3434
(610) 776-4983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT198233
PA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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