Individual
ELIZA NYLA WILFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
931 CHARTER CIR, ELKINS PARK, PA 19027-1614
(215) 831-2913
(215) 831-2929
Mailing address
931 CHARTER CIR, ELKINS PARK, PA 19027-1614
(215) 831-2913
(215) 831-2929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD065949L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017706160009
—
PA
Enumeration date
10/25/2006
Last updated
07/09/2007
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