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Individual

MADELEINE QUAIL EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 SPRUCE STREET, SUITE 100, PHILADELPHIA, PA 19106-4023
(215) 829-6802
(215) 829-6807
Mailing address
700 SPRUCE STREET, SUITE 100, PHILADELPHIA, PA 19106-4023
(215) 829-6802
(215) 829-6807

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
PAMD015546E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0650275
PA
01
31334
AETNA
01
835701
HEALTH PASS
01
EW132512
BLUE CROSS BLUE SHIELD
Enumeration date
03/20/2007
Last updated
07/09/2007
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