Individual
DR. ELISA SHIPON-BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
505 OLD YORK ROAD, LOWER LEVEL, JENKNTOWN, PA 19046
(215) 887-5748
(215) 827-5722
Mailing address
1130 HERKNESS DRIVE, MEADOWBROOK, PA 19046
(215) 887-5748
(215) 827-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-007431-L
PA
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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