Eilene Anderson

NPI #1063055689 in Fountain Hill, Pennsylvania

Provider Information

NPI Number: 1063055689
Entity Type: Individual
Name: Eilene Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 27, 2019
Last Updated: Jun 4, 2020

Practice Location

Address: 801 OSTRUM ST
City: Fountain Hill
State: Pennsylvania
ZIP Code: 18015-1000
Phone: (484) 526-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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