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NPI Code Detail

MEDICARE: MISS BINJU ELIAS PA-C

MEDICARE:  MISS BINJU  ELIAS  PA-C
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
1363AM0700XMedical Physician AssistantMA055383PA

General Provider Information

NPI Number : 1477811198
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BINJU ELIAS PA-C
Provider Business Mailing Address
First Line : 2521 W MAIN ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number :
Provider Business Practice Location Address
First Line : 2521 W MAIN ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 05/01/2012

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Directions to “ MISS BINJU ELIAS PA-C” Practice Location

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