Edith D Hasbrouck MD

NPI 1053487496 - Pediatrics - 208000000X

NPI Details
NPI 1053487496
Gender Female
Enumeration Date 11/28/2006
Last Updated 07/28/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 W TABOR RD
SUITE 141
PHILADELPHIA PA, 19141-3019, US
Phone (215) 456-9142
Fax (215) 456-9052
Business Location
1200 TABOR ROAD SUITE 141
MOSS-CADD
PHILADELPHIA PA, 19150, US
Phone (215) 456-9142
Fax (215) 456-5926
Toxanomy
Taxonomy Code 208000000X
License State Pennsylvania
License Number MD031068E
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According to our database, Edith D Hasbrouck MD NPI is 1053487496, taxonomy code is 208000000X and license number is MD031068E, license state is located at Pennsylvania. Edith D Hasbrouck MD physically located at 1200 W Tabor Rd, Philadelphia PA, 19141-3019. NPI Number Edith D Hasbrouck MD has the Individual type.

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1053487496 NPI number is provided on an as is basis without warranty of any kind. 1053487496 is maintained by the National Plan & Provider Enumeration System. The contents of Edith D Hasbrouck MD are for informational purposes only.