Individual
DR. ELIZABETH MARIE IMBODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, STE 100, YORK, PA 17403-3676
(717) 851-3884
(717) 851-3382
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4240
(717) 848-5520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD060271L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001631336
—
PA
01
—
02185802
CAPITAL BLUE CROSS-WMG
PA
01
—
1142400
AH MERCY-WMG QUEEN ST
PA
01
—
12600
GEISINGER
PA
01
—
20010049
AH MERCY-WMG CARLISLE RD
PA
01
—
249654
MAMSI-WMG
PA
01
—
32672
JOHNS HOPKINS
PA
01
—
5049566
AETNA
PA
01
—
80783
UNISON-WMG
PA
01
—
895449
HIGHMARK BLUE SHIELD
PA
01
—
P002870
GATEWAY-WMG
PA
Enumeration date
07/01/2006
Last updated
03/28/2017
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