Individual
ELIZABETH TREVISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8401
Mailing address
491 GREGORY LN, WEST CHESTER, PA 19380-1919
(808) 276-1784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053906
PA
Other
Enumeration date
06/24/2009
Last updated
08/16/2016
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