Individual
ROSALIE ELENITSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 MALONEY BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-2737
(215) 349-8339
Mailing address
3400 SPRUCE STREET, 2 MALONEY BLDG, PHILADELPHIA, PA 19104-4206
(215) 662-2737
(215) 349-8339
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD037866E
PA
207ND0900X
Dermatopathology Physician
MD037866E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001637400001
—
PA
Enumeration date
07/11/2006
Last updated
03/20/2012
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