Individual
DR. ELLIOT S JERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1088 W BALTIMORE PIKE STE 2500, MEDIA, PA 19063-5166
(484) 476-1000
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60147518
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD437979
PA
Other
Enumeration date
05/01/2007
Last updated
09/30/2024
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