Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD417005 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD417005 | PA |
NPI | 1053422600 |
---|---|
Provider Name | Michal A Elovitz |
First Address | Philadelphia, PA 19107-5176 |
Second Address | Philadelphia, PA 19107-5176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001864051 | (05) | PA |
G83498 | (02) | PA |