Individual
ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107-5002
(215) 955-9837
Mailing address
100 WITMER RD STE 220, HORSHAM, PA 19044-2279
(215) 442-5132
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10396400
NJ
Other
Enumeration date
04/11/2015
Last updated
10/14/2018
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