Individual
DEMIAN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 MARKET ST STE 500, PHILADELPHIA, PA 19107-3144
(215) 845-4917
Mailing address
901 MARKET ST STE 500, PHILADELPHIA, PA 19107-3144
(215) 845-4917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD462992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD462992
PA LICENSE
PA
Enumeration date
07/25/2006
Last updated
11/02/2022
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