Hasbrouck, Edith D

Hasbrouck, Edith D is an individual health care provider with primary practice located at 1200 W Tabor Rd Suite 141, Philadelphia PA 19141-3019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Hasbrouck, Edith D can be contacted via phone (215) 456-9142.

Contact Information

Primary practice address
1200 W Tabor Rd Suite 141 Philadelphia PA 19141-3019
Phone: (215) 456-9142
Fax: (215) 456-9052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD031068E Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD031068E Pennsylvania

Profile Details

NPI number 1053487496
LBN Legal business name Hasbrouck, Edith D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 28th, 2015 - about 9 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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