Elijah Wade Riddle
Surgeon Pediatric Surgery
735 Norman Dr Ste 3
Lebanon
, Pennsylvania 17042-7559
Elijah Wade Riddle
Surgeon Pediatric Surgery
735 Norman Dr Ste 3
Lebanon
, Pennsylvania 17042-7559
(215) 662-6156
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Elijah Wade Riddle
- 3400 Spruce St
- Philadelphia, PA
- Zip : 19104-4206
- Phone : (215) 662-6156
Second Address
- Elijah Wade Riddle
- 735 Norman Dr Ste 3
- Lebanon, PA
- Zip : 17042-7559
- Fax : (717) 272-1734
- Phone : (717) 270-7908
Reviews
FAQs
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Is Elijah Wade Riddle a sole practitioner?
Is Elijah Wade Riddle accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MT201557 | PA |
| N | 208600000X | Surgeon | MT201557 | PA |
| Y | 2086S0120X | Pediatric Surgery | MD454180 | PA |
National Provider Identifier
| NPI | 1609136993 |
|---|---|
| Provider Name | Elijah Wade Riddle |
| First Address | Philadelphia, PA 19104-4206 |
| Second Address | Lebanon, PA 17042-7559 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2012 |
| Last Update Date | 19/09/2019 |
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.