Beth Simone Etra
Pediatric Emergency Physician
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
Beth Simone Etra
Pediatric Emergency Physician
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
(215) 707-3494
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Beth Simone Etra
- 2450 W Hunting Park Ave
- Philadelphia, PA
- Zip : 19129-1302
- Fax : (215) 707-3494
- Phone : (215) 707-5030
Second Address
- Beth Simone Etra
- 3401 N Broad St
- Philadelphia, PA
- Zip : 19140-5103
- Fax : (215) 707-3494
- Phone : (215) 707-5030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | MD445131 | PA |
National Provider Identifier
| NPI | 1235360488 |
|---|---|
| Provider Name | Beth Simone Etra |
| First Address | Philadelphia, PA 19129-1302 |
| Second Address | Philadelphia, PA 19140-5103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2009 |
| Last Update Date | 24/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.