Elenitsas, Rosalie
Elenitsas, Rosalie is an individual health care provider with primary practice located at 3400 Spruce Street 2 Maloney Building, Philadelphia PA 19104-4206. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Elenitsas, Rosalie can be contacted via phone (215) 662-2737.Contact Information
Primary practice address
3400 Spruce Street 2 Maloney Building
Philadelphia PA 19104-4206
Phone: (215) 662-2737
Fax: (215) 349-8339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD037866E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD037866E | Pennsylvania |
Profile Details
| NPI number | 1932134533 |
|---|---|
| LBN Legal business name | Elenitsas, Rosalie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 20th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932134533 | NPPES |
| Pennsylvania | MEDICAID | 001637400001 |
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