ELISE C PIEBENGA

BRYN MAWR, PA
NPI1891740783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: PA  MD421773)
Additional Taxonomies208000000X Pediatrics
(Licence: RI  11970)
Enumeration Date2006-05-23
Last Update Date2011-10-25
Business Address
-- ELISE C PIEBENGA MD
130 S. BRYN MAWR AVE.
BRYN MAWR, PA 19010-3121
Phone number: 610-526-3000
Mailing Address
-- ELISE C PIEBENGA MD
PO BOX 191 PROVIDER ENROLLMENT DEPT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212