Organization
ELLE SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A MEDVETZ MD (PHYSICIAN/OWNER)
(267) 572-3173
Entity
Organization
Contact information
Practice address
280 MIDDLETOWN BLVD, LANGHORNE, PA 19047-1816
(267) 572-3173
Mailing address
280 MIDDLETOWN BLVD, LANGHORNE, PA 19047-1816
(267) 572-3173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024262250001
—
PA
Enumeration date
01/20/2010
Last updated
06/14/2010
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