Edith D Hasbrouck
Pediatrician Geriatric Medicine
1200 W Tabor Rd Suite 141
Philadelphia
, Pennsylvania 19141-3019
Edith D Hasbrouck
Pediatrician Geriatric Medicine
1200 W Tabor Rd Suite 141
Philadelphia
, Pennsylvania 19141-3019
(215) 456-9052
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About
Features
Specialties
- Geriatric Medicine
- Pediatrician
Languages spoken
- English
Location
First Address
- Edith D Hasbrouck
- 1200 Tabor Road Suite 141 Moss-Cadd
- Philadelphia, PA
- Zip : 19150
- Fax : (215) 456-9052
- Phone : (215) 456-9142
Second Address
- Edith D Hasbrouck
- 1200 W Tabor Rd Suite 141
- Philadelphia, PA
- Zip : 19141-3019
- Fax : (215) 456-9052
- Phone : (215) 456-9142
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD031068E | PA |
| N | 208000000X | Pediatrician | MD031068E | PA |
National Provider Identifier
| NPI | 1053487496 |
|---|---|
| Provider Name | Edith D Hasbrouck |
| First Address | Philadelphia, PA 19150 |
| Second Address | Philadelphia, PA 19141-3019 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 28/07/2015 |
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.