Desantis, Eliza Caroline

Desantis, Eliza Caroline is an individual health care provider with primary practice located at 833 Chestnut St Ste 1210 , Philadelphia PA 19107-4428. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Desantis, Eliza Caroline can be contacted via phone (215) 955-2074.

Contact Information

Primary practice address
833 Chestnut St Ste 1210 Philadelphia PA 19107-4428
Phone: (215) 955-2074
Fax: (215) 861-0408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD464274 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MT208953 Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X C7-00007186 Delaware
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA10378300 New Jersey

Profile Details

NPI number 1932595485
LBN Legal business name Desantis, Eliza Caroline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2015
Last updated Sep 16th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932595485 NPPES
Delaware Other C7-0005869 DE TRAINING LICENSE

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