Individual
FATIRA ELHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 476-3367
Mailing address
1788 BIG RIDGE DR, EAST STROUDSBURG, PA 18302-6642
(484) 223-5243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00460900
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00460900
NJ
363AM0700X
Medical Physician Assistant
MA052194
PA
Other
Enumeration date
01/16/2015
Last updated
04/26/2024
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