Provider Demographics
NPI:1134325236
Name:HSU, ELIZABETH HOLLY STEINBERG (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HOLLY STEINBERG
Last Name:HSU
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 1:111 S 11TH ST
Mailing Address - Street 2:SUITE 3390
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4824
Mailing Address - Country:US
Mailing Address - Phone:215-955-2900
Mailing Address - Fax:
Practice Address - Street 1:111 S 11TH ST STE 3390
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4824
Practice Address - Country:US
Practice Address - Phone:215-955-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA103045002085R0202X
DEC1-00125582085R0202X
CAA911192085R0202X
PAMD4256282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0190799Medicaid
PA1019393890002Medicaid
NJ0190799Medicaid
PA116227U5XMedicare PIN
PA116227PAGMedicare PIN
PA116227D2HMedicare PIN