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Individual

REGINA C. ELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN266616L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3056444
AETNA CONTRACT
PA
01
9626515
CIGNA
PA
01
P00260412
RAILROAD MEDICARE
PA
Enumeration date
07/17/2006
Last updated
07/12/2007
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