Organization
ELEANOR S TIONGSON MD PC
Active
Organization
ELEANOR S TIONGSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR S TIONGSON MD (PRESIDENT)
(610) 626-7488
Entity
Organization
Contact information
Practice address
2100 KEYSTONE AVE, SUITE 301, DREXEL HILL, PA 19026-1129
(610) 626-7488
(610) 626-0748
Mailing address
2100 KEYSTONE AVE, SUITE 301, DREXEL HILL, PA 19026-1129
(610) 626-7488
(610) 626-0748
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MD036757L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152141
—
PA
Enumeration date
05/29/2012
Last updated
05/29/2012
Update your record
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