Individual
ELIZABETH CLABBY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT196039
PA
2080P0206X
Pediatric Gastroenterology Physician
25MA09931000
NJ
2080P0206X
Pediatric Gastroenterology Physician
MD446055
PA
Other
Enumeration date
08/20/2009
Last updated
05/26/2020
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