Healthcare Provider Details

I. General information

NPI: 1447809546
Provider Name (Legal Business Name): MS. EILEEN ABER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-4319
US

IV. Provider business mailing address

2895 BANYAN BOULEVARD CIR NW
BOCA RATON FL
33431-6328
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1000
  • Fax:
Mailing address:
  • Phone: 561-436-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number282161
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: