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Individual

ELIZABETH ELENA CENTURION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8815 GERMANTOWN AVE FL 5, PHILADELPHIA, PA 19118-2722
(215) 248-8145
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD490280
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/09/2022
Last updated
04/15/2026
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