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VANESSA EISWERTH D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1124291034

Individual Registrant:
 VANESSA  EISWERTH D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3691 CRESCENT CT E SUITE 100 WHITEHALL, PA 18052-3433 US
Tel: 610-434-4294  Fax: 610-439-1224

Contact information for business:
PO BOX 783311  PHILADELPHIA, PA 19178-3311 US
Tel: 610-798-4500  Fax: 610-798-4699

Registration Information:
NPI: 1124291034
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
PAOS014749

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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