Individual
ELEANOR BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 NORTH 39TH ST, MOB, SUITE 300, PHILADELPHIA, PA 19104
(215) 662-8099
Mailing address
51 NORTH 39TH ST, MOB, SUITE 300, PHILADELPHIA, PA 19104
(215) 662-8099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050875
PA
Other
Enumeration date
08/01/2006
Last updated
11/13/2013
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