Provider Demographics
NPI:1073802112
Name:SEVIN, ELIZABETH GUTTMAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GUTTMAN
Last Name:SEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HIDDEN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1113
Mailing Address - Country:US
Mailing Address - Phone:610-949-9559
Mailing Address - Fax:
Practice Address - Street 1:400 HIDDEN RIVER RD
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1113
Practice Address - Country:US
Practice Address - Phone:610-949-9559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011868E207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services