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Individual

DR. JULIA ANGELA ELCOCK-VENGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 755-7700
(215) 755-3177
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD062119L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017329470001
PA
Enumeration date
08/13/2006
Last updated
04/06/2017
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