Individual
ELANA LEVITES-AGABABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401-55 W ALLEGHENY AVE, PHILADELPHIA, PA 19133
(215) 291-2500
(215) 291-2587
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT198173
PA
Other
Enumeration date
06/20/2010
Last updated
09/24/2021
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