DR. Elisa Shipon-Blum, D.O.

NPI #1659618858 in Jenkntown, Pennsylvania

Provider Information

NPI Number: 1659618858
Entity Type: Individual
Name: DR. Elisa Shipon-Blum, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 8, 2013
Last Updated: Jan 8, 2013

Practice Location

Address: 505 OLD YORK ROAD
Address 2: LOWER LEVEL
City: Jenkntown
State: Pennsylvania
ZIP Code: 19046
Phone: (215) 887-5748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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