MEDICARE: DR. ELISA OCHFELD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0201X	Pediatric Allergy/Immunology Physician	MD474002	PA

General Provider Information

NPI Number	:	1366836926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISA OCHFELD M.D.

Provider Business Mailing Address
First Line	:	2929 ARCH ST FL 12
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2857
Country	:	US
Telephone Number	:	215-590-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 CIVIC CENTER BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4319
Country	:	US
Telephone Number	:	215-590-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2015
Last Update Date	:	03/19/2026

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