Individual
GINGER ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 GREEN ST, PHILADELPHIA, PA 19130-3910
(914) 574-1319
Mailing address
1628 GREEN ST, PHILADELPHIA, PA 19130-3910
(914) 574-1319
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
797035
PA
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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