Eliza Caroline Desantis
MD | Pediatric Neonatal-Perinatal Medicine | Female
Eliza Caroline Desantis, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Eliza Caroline Desantis is also known as
Eliza Caroline Fradkin.
Current practice location of Eliza Caroline Desantis is
833 Chestnut St Ste 1210, Philadelphia, Pennsylvania - 19107-4428. She can be contacted on phone at
215-955-2074 and fax number 215-861-0408.
Eliza Caroline Desantis is a sole proprietor of her business.
NPI number (Unique professional ID) for Eliza Caroline Desantis is
1932595485 which was assigned by NPPES on 11 Apr, 2015 and it was last updated on 16 Sep, 2021.
Eliza Caroline Desantis license number is
C7-00007186 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Delaware.
Eliza Caroline Desantis is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Eliza Caroline Desantis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Eliza Caroline Desantis |
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| Other Name : | Eliza Caroline Fradkin |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Eliza Caroline Desantis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 833 Chestnut St Ste 1210
Philadelphia, PA, 19107-4428
United States |
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| Phone Number : | 215-955-2074 |
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| Fax Number : | 215-861-0408 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932595485 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Apr, 2015 |
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| Last Updated On : | 16 Sep, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eliza Caroline Desantis are as mentioned. Primary taxonomy code for Eliza Caroline Desantis, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD464274 | PA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | MT208953 | PA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | C7-00007186 | DE |
| 208000000X | Pediatrics | No | 25MA10378300 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Eliza Caroline Desantis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| C7-0005869 | Other | DE | DE TRAINING LICENSE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1600 ROCKLAND RD STE 2B80,
WILMINGTON, DE, 19803-3607
United States | WILMINGTON, DE | 302-651-5874 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 833 Chestnut St Ste 1210
Philadelphia, PA, 19107-4428
United States |
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Business Location:
Patients can refer following map for directions to
Eliza Caroline Desantis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.